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Tag: sciatica

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

Chiropractic Care & Poses for Sciatica Pain Relief

Improve your experience with chiropractic care through targeted poses for sciatica relief and enhanced mobility.

Chiropractic Care for Sciatica and Low Back Pain: A Comprehensive Guide to Relief

Sciatica and low back pain can turn your daily routine into a game of “avoid the lightning bolt of agony.” Imagine trying to bend over to tie your shoes, only to feel like a rogue nerve is staging a protest down your leg. Ouch! But don’t worry—this blog post is here to guide you through the clinical rationale behind why chiropractic care can be a game-changer for sciatica pain and low back pain, with insights from the renowned Dr. Alexander Jimenez, DC, APRN, FNP-BC, a leading chiropractor in El Paso, Texas. We’ll explore how the musculoskeletal system and sciatic nerve interact, how these conditions disrupt your life, and why chiropractic care, combined with specific poses and integrative approaches, can help you reclaim your mobility. Plus, we’ll highlight Dr. Jimenez’s expertise in personal injury cases and his unique dual-scope approach to diagnostics and legal-medical collaboration. So, grab a comfy seat (preferably one that doesn’t aggravate your sciatica), and let’s dive in!

Understanding Sciatica and Low Back Pain: The Sciatic Nerve’s Role

Sciatica isn’t just a fancy term for leg pain—it’s a condition caused by irritation, compression, or injury to the sciatic nerve, the longest nerve in the human body. This nerve starts in the lower back (lumbar spine), runs through the buttocks, and extends down the legs to the feet. When it gets irritated, it can cause pain, numbness, tingling, or weakness that radiates from the lower back down one leg, sometimes feeling like an electric shock or a bad leg cramp that just won’t quit (Fritz et al., 2020). Low back pain, on the other hand, can be axial (localized to the lower back) or radicular (radiating to the legs, often linked to sciatica) and is a leading cause of disability worldwide (Chou, 2015).

The musculoskeletal system plays a starring role in this drama. The sciatic nerve is surrounded by muscles, bones, and connective tissues, and any misalignment or dysfunction in these structures can pinch or irritate it. Common culprits include:

  • Herniated Discs: When the soft inner material of a spinal disc bulges out, it can press on the sciatic nerve roots, causing pain that feels like your back is staging a mutiny (Jensen et al., 2019).
  • Piriformis Syndrome: The piriformis muscle in the buttocks can tighten or spasm, irritating the sciatic nerve and making sitting feel like a punishment (PushAsRx, 2018).
  • Spinal Stenosis: Narrowing of the spinal canal can compress nerve roots, leading to sciatica symptoms that make walking a challenge (Mayo Clinic Proceedings, 2015).
  • Spondylolisthesis: When a vertebra slips forward, it can pinch the sciatic nerve, turning simple movements into a pain parade (Fritz et al., 2020).

These issues don’t just cause physical pain—they can wreak havoc on your daily life. Imagine struggling to sit through a movie, stand in line at the grocery store, or even sleep without feeling like your leg is on fire. For some, sciatica can make work impossible, especially if it involves heavy lifting or prolonged sitting. And let’s not forget the emotional toll—chronic pain can make you feel like you’re stuck in a grumpy cat meme, minus the cute factor.

References:

How Sciatica and Low Back Pain Impact Daily Life

Sciatica and low back pain are like uninvited guests who overstay their welcome, disrupting everything from work to play. The sciatic nerve’s irritation can cause symptoms that vary from a mild annoyance to a full-blown “I can’t move” crisis. Here’s how these conditions mess with your daily routine:

  • Mobility Challenges: Walking, bending, or even sitting can trigger sharp pain or tingling, making simple tasks like picking up your kid or carrying groceries feel like climbing Mount Everest (Fritz et al., 2020).
  • Work Disruptions: If your job involves sitting for long hours (hello, desk warriors) or physical labor, sciatica can make you dread clocking in. Up to 43% of working populations report sciatica symptoms, often linked to occupational workload (Enke et al., 2021).
  • Sleep Struggles: Finding a comfortable position at night can feel like solving a Rubik’s Cube blindfolded. Pain can keep you tossing and turning, leading to fatigue that makes you feel like you’re starring in a zombie movie.
  • Emotional Impact: Chronic pain can lead to frustration, anxiety, or even depression, especially when it lingers for months or years. About 30% of sciatica cases persist beyond a year, turning your mood sourer than a lemon (Enke et al., 2021).

Risk factors like obesity, smoking, and physical stress increase the likelihood of sciatica, as they contribute to intervertebral disc degeneration and nerve compression (Jensen et al., 2019). For example, a higher BMI (>25) can strain the spine, making it more likely to irritate the sciatic nerve. It’s like adding extra weight to an already creaky bridge—something’s bound to give.

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The Clinical Rationale for Chiropractic Care in Sciatica and Low Back Pain

Chiropractic care is like a superhero swooping in to save the day for your spine. It focuses on restoring the musculoskeletal system’s alignment to reduce nerve compression and promote healing, all without invasive procedures or heavy reliance on medications. Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner in El Paso, Texas, is a master at this, using a dual-scope approach that blends chiropractic adjustments with medical diagnostics to tackle sciatica and low back pain (El Paso Back Clinic, 2025).

Why Chiropractic Care Works

Chiropractic care targets the root causes of sciatica and low back pain by addressing biomechanical dysfunctions in the spine and surrounding muscles. Here’s the clinical rationale, broken down into bite-sized pieces:

  1. Spinal Adjustments: Chiropractors use precise manual or instrument-assisted adjustments to correct spinal misalignments (subluxations) that compress the sciatic nerve. A 2020 study found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020, as cited in El Paso Back Clinic, 2025). It’s like realigning the tracks so the train (your nerve signals) can run smoothly again.
  2. Reducing Nerve Compression: By restoring spinal alignment, chiropractic adjustments relieve pressure on the sciatic nerve roots. This is especially effective for conditions like herniated discs or spinal stenosis, where nerve compression is the main villain (Fritz et al., 2020).
  3. Improving Mobility: Adjustments and manual therapies like myofascial release improve joint mobility and reduce muscle tension, making it easier to move without wincing. Dr. Jimenez often incorporates targeted exercises to strengthen the core and lumbar muscles, supporting the spine like a sturdy scaffolding (El Paso Back Clinic, 2025).
  4. Non-Invasive and Drug-Free: Unlike medications like gabapentin or pregabalin, which show limited effectiveness for sciatica and come with side effects like dizziness and drowsiness (Enke et al., 2021), chiropractic care offers a natural approach. It’s like choosing a fresh smoothie over a sugary soda—better for you in the long run.
  5. Holistic Approach: Dr. Jimenez combines chiropractic techniques with functional medicine, addressing underlying issues like inflammation or nutritional deficiencies that can exacerbate sciatica. This integrative approach ensures the body heals from the inside out (A4M, 2023).

Dr. Jimenez’s expertise shines in his ability to tailor treatments to each patient. He uses advanced imaging (like MRI or CT scans) and diagnostic evaluations to pinpoint the exact cause of sciatica, whether it’s a herniated disc, piriformis syndrome, or spinal misalignment. His dual licensure as a chiropractor and nurse practitioner allows him to interpret these diagnostics with a medical lens, ensuring precise, evidence-based care (A4M, 2023).

References:

Dr. Alexander Jimenez: El Paso’s Personal Injury Specialist

In El Paso, Texas, Dr. Alexander Jimenez is a household name for those dealing with personal injury cases, especially those involving sciatica and low back pain from auto accidents or workplace injuries. With over 25 years of experience, Dr. Jimenez is a dual-licensed chiropractor and nurse practitioner who brings a unique perspective to personal injury care (A4M, 2023). His clinic, Injury Medical & Chiropractic Clinic, is a beacon of hope for accident victims seeking non-surgical relief.

Personal Injury and Sciatica

Personal injury cases, like car accidents or slips and falls, often lead to sciatica due to trauma to the spine or soft tissues. For example, whiplash from a car crash can misalign the spine, compressing the sciatic nerve and causing radiating pain (El Paso Back Clinic, 2025). Dr. Jimenez’s approach is comprehensive:

  • Advanced Imaging and Diagnostics: He uses MRI, CT scans, and other imaging to identify the exact source of nerve compression, whether it’s a herniated disc or soft tissue damage. This precision ensures treatments target the root cause, not just the symptoms (A4M, 2023).
  • Dual-Scope Procedures: As both a chiropractor and nurse practitioner, Dr. Jimenez combines spinal adjustments with medical evaluations, offering a holistic view of the patient’s health. This dual perspective is like having a GPS and a map—you get the full picture to navigate recovery (El Paso Back Clinic, 2025).
  • Legal-Medical Liaison: Personal injury cases often involve legal documentation for insurance claims or lawsuits. Dr. Jimenez acts as a bridge, providing detailed medical reports that link injuries to the accident, ensuring patients receive fair compensation while focusing on recovery (El Paso Chiropractor Blog, 2025).

His clinic’s integrative approach includes spinal decompression, manual adjustments, and rehabilitation programs tailored to each patient’s needs. This is especially crucial in El Paso, where auto accidents are common, and victims need reliable care to avoid long-term disability (El Paso Chiropractor Blog, 2025).

References:

Chiropractic Techniques and Poses for Sciatica Relief

Chiropractic care isn’t just about cracking your back (though that satisfying pop can feel like a mini-victory). It involves a range of techniques and complementary exercises to reduce sciatica pain and prevent it from coming back like a bad sequel. Dr. Jimenez incorporates poses inspired by yoga and physiotherapy to enhance his treatments, drawing from evidence-based practices (Yoga International, 2023).

Key Chiropractic Techniques

  1. Spinal Manipulation: This involves high-velocity, low-amplitude thrusts to realign the spine, reducing nerve compression. A case study showed that spinal manipulation can reduce sciatica pain by improving spinal mobility and reducing inflammation (Santilli et al., 2020).
  2. Spinal Decompression: Non-surgical decompression therapy relieves pressure on spinal discs, promoting healing in conditions like herniated discs or spinal stenosis. It’s like giving your spine a much-needed stretch after being squished all day (A4M, 2023).
  3. Myofascial Release: This hands-on technique targets tight muscles and fascia, relieving tension around the sciatic nerve. It’s particularly effective for piriformis syndrome, where the muscle clamps down on the nerve like a grumpy crab (PushAsRx, 2018).
  4. Neural Mobilization: This physiotherapy technique involves gentle movements to “floss” the sciatic nerve, reducing adhesion and improving nerve mobility. Studies show it can reduce pain and disability in sciatica patients (George et al., 2021).

Poses to Soothe Sciatica

Dr. Jimenez often recommends poses to complement chiropractic care, drawing from yoga and physiotherapy to stretch and strengthen the musculoskeletal system. Here are seven poses inspired by Yoga International (2023) that can help:

  1. Child’s Pose (Balasana): This gentle stretch relaxes the lower back and hips, reducing tension on the sciatic nerve. Kneel, sit back on your heels, and stretch your arms forward, resting your forehead on the ground. It’s like giving your spine a cozy hug.
  2. Cat-Cow Pose: Alternating between arching and rounding your back on all fours improves spinal flexibility and relieves pressure on the sciatic nerve. Think of it as your spine doing a little dance to loosen up.
  3. Seated Forward Bend: Sitting with legs extended, reach forward to stretch the hamstrings and lower back. This pose helps lengthen the spine and reduce nerve compression, but don’t overdo it—think gentle stretch, not Olympic contortionist.
  4. Pigeon Pose: This hip-opening pose targets the piriformis muscle, which can irritate the sciatic nerve. Thread one leg forward, resting it on the ground, and stretch the other leg back. It’s like telling your piriformis to chill out.
  5. Thread the Needle: Lie on your back, cross one ankle over the opposite thigh, and pull the thigh toward your chest. This stretches the piriformis and glutes, easing sciatic nerve pressure. It’s like threading a needle, but for pain relief.
  6. Supine Twist: Lying on your back, bring one knee across your body and twist gently. This pose improves spinal mobility and reduces tension in the lower back. It’s like wringing out a towel, but for your spine.
  7. Bridge Pose: Lie on your back, bend your knees, and lift your hips toward the ceiling. This strengthens the core and glutes, supporting the spine and reducing sciatica flare-ups. It’s like building a bridge to a pain-free day.

Dr. Jimenez integrates these poses into rehabilitation programs, ensuring patients perform them safely under guidance. These exercises complement adjustments by keeping muscles flexible and reducing the risk of re-injury (El Paso Back Clinic, 2025).

References:

Sciatica Secrets Revealed- Video

Comparing Chiropractic Care to Other Treatments

Chiropractic care stands out like a unicorn in a field of horses when compared to other sciatica treatments. Let’s break down how it stacks up against medications, acupuncture, and physiotherapy:

  • Medications (Gabapentin and Pregabalin): These drugs aim to reduce nerve pain but show limited effectiveness for sciatica. A systematic review found that gabapentin reduced leg pain in some cases, but neither drug outperformed placebo significantly, and side effects like dizziness and nausea were common (Enke et al., 2021). Chiropractic care, on the other hand, avoids these side effects and targets the root cause.
  • Acupuncture: This involves inserting needles into specific points to reduce pain. Some studies suggest acupuncture can help sciatica by stimulating nerve pathways, but results are mixed, and more research is needed (Qin et al., 2019; Zhang et al., 2019). Dr. Jimenez incorporates electro-acupuncture as a complementary therapy, combining it with adjustments for enhanced relief (A4M, 2023).
  • Physiotherapy: Techniques like neural mobilization and exercise programs can reduce sciatica pain and disability, but they often work best as an adjunct to other treatments (George et al., 2021). Chiropractic care complements physiotherapy by addressing structural issues that exercises alone may not fix (El Paso Chiropractor Blog, 2025).
  • Pestle Needle (Chu Zhen): This traditional Chinese technique uses a pestle-shaped needle to stimulate points. A pilot study showed it may reduce sciatica pain, but evidence is limited compared to chiropractic care’s established benefits (Chen et al., 2019).

Chiropractic care’s strength lies in its non-invasive, drug-free approach and its ability to integrate with other therapies. Dr. Jimenez’s clinic exemplifies this by combining adjustments, acupuncture, and tailored exercises for a well-rounded treatment plan (A4M, 2023).

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Patient Education and Long-Term Management

Education is power, especially when it comes to managing sciatica and low back pain. Dr. Jimenez emphasizes patient education to empower individuals to take control of their recovery. A systematic review found that patient education materials improve outcomes for non-specific low back pain and sciatica by helping patients understand their condition and follow treatment plans (Sanzarello et al., 2019).

Key Education Points

  • Understanding Sciatica: Patients learn about the sciatic nerve’s anatomy and how factors like herniated discs or obesity contribute to pain. This knowledge helps them make lifestyle changes, like maintaining a healthy weight to reduce spinal stress (Jensen et al., 2019).
  • Home Exercises: Dr. Jimenez provides tailored exercise plans, including the yoga-inspired poses mentioned earlier, to maintain flexibility and strength. It’s like giving your spine a daily workout to keep it happy.
  • Lifestyle Modifications: Advice on posture, ergonomics, and nutrition helps prevent flare-ups. For example, sitting with proper lumbar support can prevent your spine from throwing a tantrum (El Paso Back Clinic, 2025).
  • Regular Check-Ups: Ongoing chiropractic care monitors progress and prevents recurrence, ensuring long-term relief (A4M, 2023).

Dr. Jimenez’s clinic offers resources like videos and workshops to reinforce these lessons, making patients active participants in their healing journey (PushAsRx, 2018).

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The Cost-Effectiveness of Chiropractic Care

Chiropractic care isn’t just good for your spine—it’s kind to your wallet too. A 2024 systematic review found that chiropractic care is associated with lower healthcare costs compared to medical management for spine-related pain. Patients who see chiropractors early in their treatment have fewer downstream costs, like hospitalizations or surgeries, because chiropractic care prevents escalation of care (Whedon et al., 2024). It’s like fixing a small leak before it turns into a flooded basement.

Dr. Jimenez’s approach maximizes cost-effectiveness by using non-invasive techniques and preventing chronic conditions from worsening. His clinic accepts major insurances, making care accessible to more patients (A4M, 2023). Plus, by avoiding medications with limited efficacy, like gabapentin or pregabalin, patients save on prescriptions and avoid side effects (Enke et al., 2021).

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Why Choose Dr. Alexander Jimenez in El Paso

Dr. Jimenez is more than just a chiropractor—he’s a lifeline for those suffering from sciatica and low back pain in El Paso. His dual licensure, extensive experience, and integrative approach make him a standout. Here’s why:

  • Expertise in Complex Cases: He specializes in severe sciatica, herniated discs, and spinal stenosis, using advanced diagnostics to create personalized treatment plans (El Paso Back Clinic, 2025).
  • Holistic Care: Combining chiropractic adjustments, acupuncture, and functional medicine, he addresses both symptoms and underlying causes (A4M, 2023).
  • Personal Injury Advocacy: His ability to liaise between medical and legal needs ensures accident victims get comprehensive care and proper documentation (El Paso Chiropractor Blog, 2025).
  • Community Trust: With a 25-year track record and glowing patient testimonials, Dr. Jimenez is a trusted name in El Paso (PushAsRx, 2018).

Whether you’re dealing with sciatica from a car accident or chronic low back pain, Dr. Jimenez’s clinic at Injury Medical & Chiropractic Clinic (915-850-0900) is your go-to for relief. Check out his insights on chiromed.com or connect with him on LinkedIn for more information.

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Conclusion

Sciatica and low back pain can significantly disrupt daily life, but chiropractic care offers a safe, effective, and non-invasive solution. Dr. Alexander Jimenez’s integrative approach, combining spinal adjustments, diagnostic precision, and complementary therapies like yoga-inspired poses, provides lasting relief for patients in El Paso and beyond. His expertise in personal injury cases ensures accident victims receive comprehensive care and legal support, making him a trusted practitioner in the community. For those struggling with sciatica, seeking chiropractic care can be a step toward reclaiming mobility and quality of life.

Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare professional, such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, before starting any treatment for sciatica or low back pain. Individual results may vary, and professional evaluation is essential to ensure safe and effective care.

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

Recovering from Motor Vehicle Accidents: A Holistic Approach to Healing Musculoskeletal Injuries, Back Pain, Neck Pain, Nerve Injuries, and Sciatica

Post MVA Complex examination and treatment of back pain with examination and MRI of spine in the neurological spine disorders clinic

Motor vehicle accidents (MVAs) can be life-altering events, often resulting in a range of injuries that affect physical and emotional well-being. From musculoskeletal damage to nerve injuries like sciatica, the impact of a car crash can linger long after the incident. Fortunately, combining the expertise of nurse practitioners, chiropractic care, and integrative medicine offers a comprehensive path to recovery. This blog post examines how MVAs lead to injuries such as back pain, neck pain, and sciatica, and how professionals like Dr. Alexander Jimenez in El Paso, Texas, employ evidence-based, holistic strategies to aid patients in their recovery. Written for a high school reading level, this article aims to educate and empower those affected by auto accidents to take charge of their recovery.

Understanding Motor Vehicle Accident Injuries

How MVAs Cause Musculoskeletal and Nerve Injuries

Car accidents often involve sudden, forceful movements that put immense stress on the body. When a vehicle collides, the spine, muscles, ligaments, and nerves can be jolted out of alignment or damaged. Common injuries include:

  • Whiplash: A rapid back-and-forth motion of the neck, often causing muscle strain, ligament sprains, and spinal misalignments.
  • Herniated Discs: The impact can cause spinal discs to rupture, pressing on nearby nerves and triggering pain.
  • Spinal Misalignments: Also known as subluxations, these occur when vertebrae shift out of their normal position, potentially compressing the nerves.
  • Sciatica: Compression of the sciatic nerve, often due to a herniated disc or misaligned spine, leads to radiating pain, numbness, or tingling down the leg.

According to research, MVAs are a significant cause of musculoskeletal injuries, with spinal misalignments and nerve compression being common outcomes (Team Allied Physical Therapy & Wellness, n.d.). These injuries may not always show immediate symptoms, making early evaluation critical to prevent chronic pain (Team Allied Physical Therapy & Wellness, n.d.).

The Connection Between MVAs and Sciatica

Sciatica occurs when the sciatic nerve, which runs from the lower back through the hips and down each leg, becomes irritated or compressed. A car accident can trigger this condition in several ways:

  • Disc Injuries: A herniated or bulging disc can press on the sciatic nerve, causing sharp, shooting pain.
  • Pelvic Misalignment: The force of a crash can cause the pelvis to shift, potentially aggravating nerve compression.
  • Inflammation: Trauma from an accident can lead to inflammation around the spine, further irritating the sciatic nerve (Portland Urgent Care, n.d.).

Studies show that car accidents can directly contribute to sciatica by damaging spinal structures or connective tissues (Hodes & Menard, n.d.). Left untreated, these issues can lead to chronic pain and reduced mobility.

Why Early Intervention Matters

After an MVA, some people feel fine initially, only to experience pain days or weeks later. Hidden injuries, like soft tissue damage or minor spinal misalignments, can worsen over time if not addressed. Seeking care from professionals like chiropractors and nurse practitioners early on can prevent long-term complications and promote faster healing (Illumin8 Chiropractic, 2024).

References
Hodes, M., & Menard, J. (n.d.). Can a car accident cause sciatica? What to look for. HM Attorneys. https://www.hm-attorneys.com/can-a-car-accident-cause-sciatica-what-to-look-for/
Illumin8 Chiropractic. (2024, October 24). Car accident injuries & whiplash. https://illumin8chiro.com
Portland Urgent Care. (n.d.). Can a car accident cause sciatica pain? https://www.portlandurgentcare.com/blog/can-a-car-accident-cause-sciatica-pain
Team Allied Physical Therapy & Wellness. (n.d.). Why spinal misalignments after an auto accident shouldn’t be ignored. https://teamalliedpw.com/why-spinal-misalignments-after-an-auto-accident-shouldnt-be-ignored/

The Role of Chiropractic Care in MVA Recovery

What Is Chiropractic Care?

Chiropractic care focuses on diagnosing and treating musculoskeletal disorders, particularly those involving the spine. Chiropractors use hands-on techniques, such as spinal adjustments, to correct misalignments, reduce nerve pressure, and restore proper function. This approach is non-invasive and drug-free, making it a safe option for many MVA patients (The Neck and Back Clinics, n.d.).

How Chiropractic Care Helps MVA Injuries

Chiropractic techniques are highly effective for addressing common MVA injuries:

  • Spinal Adjustments: By realigning the spine, chiropractors relieve pressure on nerves, reducing pain and improving mobility. A 2020 study found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020, as cited in El Paso Back Clinic, 2025).
  • Spinal Decompression: This non-surgical therapy relieves pressure on spinal discs, helping to treat conditions such as herniated discs and sciatica (El Paso Back Clinic, 2025).
  • Soft Tissue Therapy: Techniques such as massage or myofascial release reduce muscle tension and promote the healing of strained ligaments.

For sciatica specifically, chiropractic adjustments can correct pelvic or spinal misalignments that compress the sciatic nerve, alleviating pain and restoring function (OC Spinal Care, n.d.). Patients often report immediate relief after adjustments, with continued improvement over time (Mission Village Chiropractic, n.d.).

Benefits of Chiropractic Care

  • Pain Relief Without Medication: Chiropractic care reduces reliance on painkillers, which can have addictive side effects.
  • Improved Mobility: Adjustments and therapies restore range of motion, enabling patients to return to their daily activities.
  • Holistic Approach: Chiropractors often provide guidance on exercise, posture, and nutrition to support overall recovery (Mission Village Chiropractic, n.d.).

References
El Paso Back Clinic. (2025, May 23). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com
Mission Village Chiropractic. (n.d.). How chiropractors work with auto injury patients. https://missionvillagechiropractic.com/blog/how-chiropractors-work-with-auto-injury-patients.html
OC Spinal Care. (n.d.). Combining spinal decompression with chiropractic adjustments: A comprehensive approach to pain relief. https://www.ocspinalcare.com/blog/combining-spinal-decompression-with-chiropractic-adjustments-a-comprehensive-approach-to-pain-relief.html
The Neck and Back Clinics. (n.d.). How chiropractic care may alleviate neck and back pain from auto and work-related accidents. https://theneckandbackclinics.com/how-chiropractic-care-may-alleviate-neck-and-back-pain-from-auto-and-work-related-accidents/

Nurse Practitioners: Comprehensive Care for MVA Patients

The Role of Nurse Practitioners

Nurse practitioners (NPs) are advanced practice registered nurses with extensive training in diagnosing and managing health conditions. In the context of MVAs, NPs play a vital role in:

  • Assessing Injuries: NPs conduct thorough physical exams and order diagnostic tests, such as X-rays or MRIs, to identify injuries.
  • Managing Pain: They prescribe medications, recommend therapies, and coordinate care with other specialists.
  • Holistic Care: NPs address the patient’s overall health, including mental and emotional well-being, which can be affected by the trauma of an accident (Physicians Group, LLC, n.d.).

How NPs Collaborate with Chiropractors

The combination of NP and chiropractic care is particularly powerful for MVA recovery. While chiropractors focus on spinal alignment and nerve function, NPs provide medical oversight, ensuring all aspects of the patient’s health are addressed. For example:

  • Pain Management: NPs may prescribe anti-inflammatory medications to complement chiropractic adjustments, reducing inflammation more effectively.
  • Diagnostic Support: NPs interpret imaging results, helping chiropractors tailor their adjustments to the patient’s specific injuries.
  • Long-Term Care Plans: NPs develop comprehensive treatment plans that integrate chiropractic care, physical therapy, and lifestyle changes (Jimenez, 2024).

This collaborative approach ensures that both the immediate symptoms and underlying causes of MVA injuries are treated, leading to better outcomes (Physicians Group, LLC, n.d.).

Benefits of NP Involvement

  • Personalized Care: NPs tailor treatment plans to each patient’s unique needs, considering factors such as age, health history, and injury severity.
  • Coordination with Specialists: NPs refer patients to orthopedists, neurologists, or pain management specialists when needed.
  • Patient Education: NPs empower patients with knowledge about their injuries and recovery process, improving adherence to treatment plans.

References
Jimenez, A. (2024, October 24). Strategies for pain management following motor vehicle accidents. LinkedIn. https://www.linkedin.com/pulse/strategies-pain-management-following-motor-vehicle-dr-alexander-vouuc
Physicians Group, LLC. (n.d.). The role of nurse practitioners in managing auto injuries. https://physiciansgroupllc.com/the-role-of-nurse-practitioners-in-managing-auto-injuries/

Integrative Medicine: A Holistic Approach to Healing

What Is Integrative Medicine?

Integrative medicine combines conventional medical treatments with complementary therapies, such as chiropractic care, nutrition, and health coaching. This approach focuses on treating the whole person—body, mind, and spirit—rather than just the symptoms of an injury (Charleston Chiropractic Studio, n.d.).

Key Components of Integrative Medicine for MVA Recovery

Integrative medicine offers several strategies to support recovery from MVA injuries:

  • Nutritional Therapy: Anti-inflammatory diets rich in omega-3 fatty acids and antioxidants can reduce inflammation and support spinal health. A 2020 study found that dietary interventions help reduce chronic pain (Kaushik et al., 2020, as cited in El Paso Back Clinic, 2025).
  • Health Coaching: Coaches guide patients in making lifestyle changes, such as improving posture, managing stress, and staying active, to prevent the recurrence of injuries.
  • Mind-Body Techniques: Practices like meditation and yoga can reduce stress and improve mental health, which is crucial for recovery from traumatic events like MVAs.

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, emphasizes the importance of integrative medicine in addressing the root causes of motor vehicle accident (MVA) injuries, such as spinal misalignments and nerve compression (Jimenez, n.d.).

Benefits of Integrative Medicine

  • Addresses Underlying Causes: By targeting inflammation, hormonal imbalances, and lifestyle factors, integrative medicine promotes long-term healing.
  • Enhances Overall Well-Being: Patients often report improved energy, mood, and quality of life.
  • Prevents Chronic Conditions: Early intervention with integrative therapies can help prevent acute injuries from developing into chronic conditions.

References
Charleston Chiropractic Studio. (n.d.). Diagnosis & chiropractic pain. https://charlestonchirostudio.com/blog/diagnosis-chiropractic-pain/
El Paso Back Clinic. (2025, May 23). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/

Dr. Alexander Jimenez: A Leader in MVA Recovery

Who Is Dr. Alexander Jimenez?

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a board-certified chiropractor and family nurse practitioner based in El Paso, Texas. With over 25 years of experience, he is recognized for his expertise in treating injuries related to motor vehicle accidents (MVAs), including sciatica, back pain, and neck pain. Dr. Jimenez holds dual licensure as a chiropractor and nurse practitioner, allowing him to bridge the gap between biomechanical and medical care (El Paso Back Clinic, 2025).

Dr. Jimenez’s Approach to MVA Injuries

Dr. Jimenez’s practice, Injury Medical & Chiropractic Clinic, integrates chiropractic care, functional medicine, and advanced diagnostics to create personalized treatment plans. His clinical observations highlight the following:

  • Enhanced Imaging: Dr. Jimenez uses X-rays, MRIs, and other imaging techniques to accurately diagnose spinal misalignments, disc injuries, and nerve compression. This ensures treatments target the precise source of pain (Jimenez, n.d.).
  • Dual-Scope Procedures: As both a chiropractor and a nurse practitioner (NP), Dr. Jimenez combines spinal adjustments with medical interventions, such as anti-inflammatory medications or nutritional therapy, for comprehensive care.
  • Diagnostic Evaluations: He conducts thorough assessments, including neurological and musculoskeletal exams, to identify all injury-related issues, from soft tissue damage to hormonal imbalances caused by chronic stress (Jimenez, n.d.).

Unique Qualities of Dr. Jimenez

Dr. Jimenez’s dual expertise sets him apart in the field of MVA recovery:

  • Medical and Legal Documentation: His background as an NP allows him to provide detailed medical records that support legal claims in personal injury cases, ensuring patients receive fair compensation.
  • Holistic Philosophy: Dr. Jimenez incorporates integrative medicine principles, such as nutrition and lifestyle coaching, to address the root causes of injuries and promote long-term wellness.
  • Patient-Centered Care: His practice emphasizes education, empowering patients to understand their injuries and actively participate in their recovery (El Paso Back Clinic, 2025).

Case Studies from El Paso

Dr. Jimenez has successfully treated numerous MVA victims in El Paso. For example, a patient named Manuel Lozano, who suffered from sciatica and back pain after a car accident, experienced significant improvement through Dr. Jimenez’s chiropractic adjustments and integrative therapies. Such cases demonstrate the effectiveness of his approach in restoring mobility and reducing pain (El Paso Back Clinic, 2019).

References
El Paso Back Clinic. (2019, May 16). Chiropractic sciatica care El Paso, TX. https://personalinjurydoctorgroup.com
El Paso Back Clinic. (2025, May 23). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com
Jimenez, A. (n.d.). Clinical observations. https://dralexjimenez.com/

Combining Chiropractic Care, NP Expertise, and Integrative Medicine

A Synergistic Approach

The collaboration between chiropractors, nurse practitioners, and integrative medicine practitioners creates a powerful framework for MVA recovery. Each professional brings unique skills to the table:

  • Chiropractors: Correct spinal misalignments and relieve nerve compression, addressing the biomechanical aspects of injuries.
  • Nurse Practitioners: Provide medical oversight, pain management, and coordination with other specialists.
  • Integrative Medicine Practitioners: Offer nutritional therapy, health coaching, and mind-body techniques to support overall healing.

This multidisciplinary approach ensures that all facets of a patient’s health are addressed, from physical injuries to emotional trauma (Thrive VB, n.d.).

Practical Steps for MVA Recovery

If you’ve been in a car accident, follow these steps to maximize your recovery:

  1. Seek Immediate Care: Visit a chiropractor or NP for a thorough evaluation, even if you feel fine initially.
  2. Follow a Treatment Plan: Adhere to recommended therapies, including spinal adjustments, physical therapy, and nutritional changes.
  3. Stay Active: Engage in gentle exercises as advised by your healthcare provider to maintain mobility.
  4. Monitor Symptoms: Report any new or worsening symptoms, such as numbness or radiating pain, to your care team.
  5. Prioritize Self-Care: Practice stress management techniques and follow a healthy diet to support healing.

Long-Term Benefits

Patients who combine chiropractic care, NP expertise, and integrative medicine often experience:

  • Faster Recovery: Addressing both symptoms and underlying causes accelerates the healing process.
  • Reduced Risk of Chronic Pain: Early intervention helps prevent acute injuries from developing into long-term issues.
  • Improved Quality of Life: Holistic care enhances physical, mental, and emotional well-being.

References
Thrive VB. (n.d.). How chiropractors and physical therapists work together for the good of your health. https://thrivevb.com/how-chiropractors-and-physical-therapists-work-together-for-the-good-of-your-health/

Conclusion

Motor vehicle accidents can cause a range of injuries, from musculoskeletal damage to sciatica, but recovery is possible with the right care. By combining chiropractic adjustments, nurse practitioner expertise, and integrative medicine, patients can address both the symptoms and root causes of their injuries. Professionals like Dr. Alexander Jimenez in El Paso exemplify this approach, utilizing advanced diagnostics, dual-scope procedures, and holistic therapies to aid patients in their recovery. If you’ve been in an MVA, don’t wait to seek care—early intervention can make all the difference in achieving a full recovery.

References

Charleston Chiropractic Studio. (n.d.). Diagnosis & chiropractic pain. https://charlestonchirostudio.com/blog/diagnosis-chiropractic-pain/

El Paso Back Clinic. (2019, May 16). Chiropractic sciatica care El Paso, TX. https://personalinjurydoctorgroup.com

El Paso Back Clinic. (2025, May 23). Why choose Dr. Alex Jimenez for your care. https://elpasobackclinic.com

Hodes, M., & Menard, J. (n.d.). Can a car accident cause sciatica? What to look for. HM Attorneys. https://www.hm-attorneys.com/can-a-car-accident-cause-sciatica-what-to-look-for/

Illumin8 Chiropractic. (2024, October 24). Car accident injuries & whiplash. https://illumin8chiro.com

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

Jimenez, A. (2024, October 24). Strategies for pain management following motor vehicle accidents. LinkedIn. https://www.linkedin.com/pulse/strategies-pain-management-following-motor-vehicle-dr-alexander-vouuc

Mission Village Chiropractic. (n.d.). How chiropractors work with auto injury patients. https://missionvillagechiropractic.com/blog/how-chiropractors-work-with-auto-injury-patients.html

OC Spinal Care. (n.d.). Combining spinal decompression with chiropractic adjustments: A comprehensive approach to pain relief. https://www.ocspinalcare.com/blog/combining-spinal-decompression-with-chiropractic-adjustments-a-comprehensive-approach-to-pain-relief.html

Physicians Group, LLC. (n.d.). The role of nurse practitioners in managing auto injuries. https://physiciansgroupllc.com/the-role-of-nurse-practitioners-in-managing-auto-injuries/

Portland Urgent Care. (n.d.). Can a car accident cause sciatica pain? https://www.portlandurgentcare.com/blog/can-a-car-accident-cause-sciatica-pain

Team Allied Physical Therapy & Wellness. (n.d.). Why spinal misalignments after an auto accident shouldn’t be ignored. https://teamalliedpw.com/why-spinal-misalignments-after-an-auto-accident-shouldnt-be-ignored/

The Neck and Back Clinics. (n.d.). How chiropractic care may alleviate neck and back pain from auto and work-related accidents. https://theneckandbackclinics.com/how-chiropractic-care-may-alleviate-neck-and-back-pain-from-auto-and-work-related-accidents/

Thrive VB. (n.d.). How chiropractors and physical therapists work together for the good of your health. https://thrivevb.com/how-chiropractors-and-physical-therapists-work-together-for-the-good-of-your-health/

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

Comprehending Ligamentous Injuries Resulting from Motor Vehicle Accidents and Their Association with Sciatica: Perspectives from Dr. Alexander Jimenez

Motor vehicle accidents (MVAs) are a leading cause of injuries worldwide, with over 2.6 million individuals injured annually in the United States alone, according to the National Highway Traffic Safety Administration (National Highway Traffic Safety Administration, 2023). Among the most common injuries sustained in MVAs are ligamentous injuries, which can significantly impact a person’s quality of life. These injuries often affect the spine and surrounding tissues, potentially leading to conditions such as sciatica, a painful condition caused by the irritation or compression of the sciatic nerve. In El Paso, Texas, Dr. Alexander Jimenez, DC, APRN, FNP-BC, a board-certified chiropractor and family nurse practitioner, stands out as a leading provider for individuals with personal injury claims. His integrative approach combines advanced imaging, diagnostic evaluations, and dual-scope procedures to deliver comprehensive care while serving as a critical liaison between medical treatment and legal processes.

This article examines the clinical rationale behind ligamentous injuries resulting from motor vehicle accidents (MVAs), their relationship to sciatica, and the pivotal role of Dr. Jimenez in treating these injuries. We’ll also discuss the importance of personal injury cases in El Paso and how Dr. Jimenez’s expertise ensures optimal recovery and legal support for his patients. Written for a high school reading level, this SEO-optimized blog post offers a detailed and accessible guide to these complex topics.

What Are Ligamentous Injuries from Motor Vehicle Accidents?

Ligaments are tough, fibrous bands of tissue that connect bones and stabilize joints. In MVAs, the sudden force of impact can stretch, tear, or sprain these ligaments, particularly in the spine. The spine, a delicate yet complex architecture, is highly susceptible to injury during collisions due to its role in supporting the body and protecting the spinal cord (Jimenez, 2024). Ligamentous injuries are common in MVAs because the rapid acceleration and deceleration—often referred to as whiplash—can overextend ligaments beyond their normal range of motion.

Mechanisms of Ligamentous Injuries in MVAs

The biomechanics of MVAs involve high-energy forces that disrupt the body’s natural alignment. According to a clinical article by Dr. Jimenez, ligamentous injuries in MVAs typically occur due to:

  1. Whiplash: The abrupt back-and-forth motion of the head and neck, common in rear-end collisions, strains cervical spine ligaments. This can lead to cervical sprains or tears, causing pain and reduced mobility (Jimenez, 2024).
  2. Hyperextension and Hyperflexion: The spine may be forced into extreme positions, damaging ligaments in the cervical, thoracic, or lumbar regions. For example, a frontal collision may cause the spine to hyperextend, stretching ligaments excessively.
  3. Rotational Forces: Side-impact collisions can cause the spine to twist, leading to rotational injuries that affect ligaments and surrounding soft tissues.
  4. Direct Trauma: The impact of the body against the vehicle’s interior, such as the steering wheel or dashboard, can cause localized ligament damage.

These mechanisms highlight the vulnerability of spinal ligaments during motor vehicle accidents (MVAs). The cervical and lumbar regions are particularly prone to injury due to their mobility and load-bearing functions (Jimenez, 2024).

Symptoms of Ligamentous Injuries

Ligamentous injuries often present with immediate or delayed symptoms, which can complicate diagnosis. Common symptoms include:

  • Pain and Stiffness: Localized pain at the injury site, often worsening with movement.
  • Swelling and Inflammation: Damaged ligaments trigger an inflammatory response, leading to swelling.
  • Reduced Range of Motion: Injured ligaments limit joint mobility, making it difficult to bend or twist the affected joint.
  • Instability: Severe tears can lead to joint instability, thereby increasing the risk of further injury.
  • Referred Pain: Pain may radiate to other areas, such as the lower back or legs, potentially indicating sciatica.

These symptoms can vary in severity, depending on the extent of the injury and the individual’s overall health. Delayed symptoms, which may appear days or weeks after the accident, indicate the need for thorough medical evaluations (Jimenez, 2024).

Clinical Rationale for Ligamentous Injuries

The clinical rationale for diagnosing and treating ligamentous injuries involves understanding their biomechanical and physiological impacts. Ligaments play a critical role in maintaining spinal stability, and their injury can disrupt the spine’s alignment, leading to subluxations (misalignments of vertebrae). These subluxations can irritate nerves, including the sciatic nerve, contributing to chronic pain and dysfunction (Jimenez, 2024).

Advanced imaging techniques, such as X-rays, MRIs, or CT scans, are essential for accurately identifying ligamentous injuries. These tools allow clinicians to visualize soft tissue damage, assess joint stability, and rule out fractures or disc injuries. Dr. Jimenez emphasizes the use of diagnostic imaging to create data-driven treatment plans, ensuring precise interventions tailored to each patient’s needs (Jimenez, 2024).

References

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

National Highway Traffic Safety Administration. (2023). Traffic safety facts: 2021 data. Retrieved from https://www.nhtsa.gov

The Connection Between Ligamentous Injuries and Sciatica

Sciatica is a condition characterized by pain, numbness, or tingling that radiates along the sciatic nerve, which runs from the lower back through the hips and down each leg. While sciatica is often associated with herniated discs, ligamentous injuries from motor vehicle accidents (MVAs) can also contribute to its development by causing spinal misalignments or inflammation that compress or irritate the sciatic nerve (Jimenez, 2024).

How Ligamentous Injuries Lead to Sciatica

Ligamentous injuries in the lumbar spine, where the sciatic nerve originates, can trigger sciatica through several mechanisms:

  1. Spinal Misalignment: Damaged ligaments may destabilize the lumbar spine, leading to subluxations. These misalignments can compress nerve roots, including those forming the sciatic nerve, causing pain and discomfort (Jimenez, 2024).
  2. Inflammation: Injured ligaments release inflammatory chemicals that irritate nearby nerves. In the lumbar region, this inflammation can affect the sciatic nerve, resulting in symptoms such as burning or shooting pain.
  3. Muscle Spasms: Ligament injuries often cause compensatory muscle spasms, which can further compress the sciatic nerve. For example, spasms in the piriformis muscle (a muscle in the buttocks) can lead to piriformis syndrome, a condition that mimics sciatica.
  4. Disc Injuries: Ligamentous injuries may destabilize spinal discs, increasing the risk of disc herniation or bulging. A herniated disc can press directly on the sciatic nerve, exacerbating symptoms (Jimenez, 2024).

Dr. Jimenez’s clinical insights highlight that sciatica from ligamentous injuries is often multifactorial, involving a combination of nerve compression, inflammation, and biomechanical dysfunction. His approach focuses on addressing the root cause of sciatica rather than merely alleviating symptoms (Jimenez, 2024).

Symptoms of Sciatica

Sciatica symptoms can range from mild to debilitating and may include:

  • Lower Back Pain: A dull or sharp pain in the lower back that radiates to the buttocks or legs.
  • Leg Pain: Burning, shooting, or electric-shock-like pain along the back of the leg.
  • Numbness or Tingling: Sensations of pins and needles in the leg or foot.
  • Muscle Weakness: Difficulty moving the leg or foot due to nerve compression.
  • Worsening with Movement: Pain that intensifies when sitting, standing, or bending.

These symptoms can significantly impair daily activities, making early diagnosis and treatment critical (Jimenez, 2024).

Diagnosing Sciatica from Ligamentous Injuries

Diagnosing sciatica involves a combination of clinical evaluations and advanced imaging. Dr. Jimenez employs a systematic approach to identify the underlying cause of sciatica, including:

  • Physical Examination: Assessing range of motion, reflexes, and muscle strength to pinpoint nerve involvement.
  • Motion and Static Palpation: Feeling for tenderness and evaluating spinal joint mobility to detect misalignments or ligament damage.
  • Advanced Imaging: Using MRI or CT scans to visualize ligament tears, disc injuries, or nerve compression.
  • Electromyography (EMG): Measuring nerve function to confirm sciatic nerve irritation.

These diagnostic tools allow Dr. Jimenez to develop personalized treatment plans that address both the ligamentous injury and its neurological consequences (Jimenez, 2024).

References

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Dr. Alexander Jimenez: A Leading Provider for Personal Injury Cases in El Paso

El Paso, Texas, is a bustling city with a high incidence of motor vehicle accidents (MVAs) due to its proximity to major highways and cross-border traffic. Personal injury cases, particularly those involving ligamentous injuries and sciatica, are common in this region. Dr. Alexander Jimenez, based at Injury Medical & Chiropractic Clinic, has over 25 years of experience treating personal injury victims, earning a reputation as a trusted provider in El Paso (Injury Medical & Chiropractic Clinic, 2025).

Why Personal Injury Cases Matter in El Paso

Personal injury cases are critical for ensuring that MVA victims receive fair compensation for medical expenses, lost wages, and pain and suffering. In El Paso, these cases often involve complex legal and medical considerations, as insurance companies may dispute the extent of injuries or the necessity of treatment. Dr. Jimenez’s expertise bridges this gap by providing thorough documentation and clinical evidence to support patients’ claims (Injury Medical & Chiropractic Clinic, 2025).

Ligamentous injuries, in particular, require specialized care due to their potential for long-term complications, such as chronic pain or sciatica. Without proper treatment, these injuries can lead to permanent disability, significantly affecting a person’s ability to work or participate in daily activities. Dr. Jimenez’s integrative approach ensures that patients receive both immediate relief and long-term rehabilitation, maximizing their recovery and legal outcomes (Injury Medical & Chiropractic Clinic, 2025).

Dr. Jimenez’s Unique Qualifications

Dr. Jimenez’s dual licensure as a chiropractor (DC) and board-certified family nurse practitioner (FNP-BC) sets him apart from other providers. His credentials include:

  • Chiropractic Expertise: Licensed in Texas and New Mexico, Dr. Jimenez specializes in spinal adjustments, decompression therapy, and rehabilitation protocols to address ligamentous injuries and sciatica (Injury Medical & Chiropractic Clinic, 2025).
  • Nurse Practitioner Scope: As an FNP-BC, he can perform advanced diagnostic evaluations, order imaging, and prescribe therapeutic interventions, providing a comprehensive medical perspective.
  • Functional Medicine Training: Certifications in functional medicine (IFMCP, CFMP) allow Dr. Jimenez to address underlying metabolic and nutritional factors that influence recovery.
  • Legal Liaison Capabilities: Dr. Jimenez’s post-graduate training in accident injury evaluation enables him to provide detailed medical reports, depositions, and court testimony, ensuring that patients’ injuries are accurately represented in legal proceedings (Injury Medical & Chiropractic Clinic, 2025).

This dual-scope approach allows Dr. Jimenez to treat patients holistically while navigating the complexities of personal injury claims. His ability to integrate chiropractic care with medical management ensures that patients receive seamless, evidence-based treatment (Injury Medical & Chiropractic Clinic, 2025).

References

Injury Medical & Chiropractic Clinic. (2025). Dr. Alex Jimenez: Pioneering integrative care as a chiropractor and nurse practitioner. Retrieved from https://www.a4m.com

Advanced Imaging and Diagnostic Evaluations in Treatment

Accurate diagnosis is the cornerstone of effective treatment for ligamentous injuries and sciatica. Dr. Jimenez utilizes state-of-the-art imaging and diagnostic tools to accurately assess the extent of injuries and develop personalized treatment plans.

Role of Advanced Imaging

Advanced imaging plays a critical role in visualizing ligamentous injuries, which may not be apparent on standard X-rays. Dr. Jimenez uses the following imaging modalities:

  • X-rays: To assess spinal alignment and rule out fractures or dislocations.
  • Magnetic Resonance Imaging (MRI): To visualize soft tissues, including ligaments, discs, and nerves, offering comprehensive details about tears or inflammation.
  • Computed Tomography (CT) Scans: To evaluate complex injuries involving bones and joints, particularly in cases of suspected instability.
  • Ultrasound: To assess soft tissue damage in real-time, particularly for dynamic injuries.

These imaging techniques allow Dr. Jimenez to confirm the presence of ligamentous injuries, assess their severity, and identify any associated conditions, such as disc herniation or sciatica (Jimenez, 2024).

Diagnostic Evaluations

In addition to imaging, Dr. Jimenez conducts comprehensive diagnostic evaluations to understand the full scope of a patient’s injuries. These evaluations include:

  • Functional Assessments: Testing mobility, flexibility, and strength to identify biomechanical deficits caused by ligamentous injuries.
  • Neurological Testing: Evaluating reflexes, sensation, and muscle function to detect nerve compression or irritation, such as in sciatica.
  • Blood Panels: Analyzing metabolic and inflammatory markers to identify systemic factors that may delay healing.
  • Motion Palpation: A hands-on technique to assess joint mobility and detect subluxations or ligament laxity.

By combining imaging with clinical evaluations, Dr. Jimenez ensures a thorough understanding of each patient’s condition, enabling precise and effective treatment (Jimenez, 2024).

Dual-Scope Procedures

Dr. Jimenez’s dual licensure allows him to perform procedures that integrate chiropractic and medical approaches. For example:

  • Spinal Decompression Therapy: A non-surgical technique to relieve pressure on spinal discs and nerves, particularly effective for sciatica caused by ligamentous injuries.
  • Manual Adjustments: Targeted manipulations to correct spinal misalignments, reduce nerve compression, and restore joint mobility.
  • Functional Strength Training: Tailored exercise programs to stabilize injured ligaments and prevent re-injury.
  • Nutritional Support: Personalized diet plans to reduce inflammation and promote tissue healing.

These dual-scope procedures address both the structural and physiological aspects of ligamentous injuries, ensuring comprehensive care (Jimenez, 2024).

References

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Dr. Jimenez as a Legal-Medical Liaison

Personal injury cases require meticulous documentation to support insurance claims and legal proceedings. Dr. Jimenez’s expertise as a legal-medical liaison ensures that patients receive the medical care they need while securing the compensation they deserve.

The Role of a Legal-Medical Liaison

A legal-medical liaison serves as a bridge between the healthcare system and the legal system, providing detailed medical reports, expert testimony, and collaborating with attorneys. Dr. Jimenez excels in this role by:

  • Documenting Injuries: Creating comprehensive medical records that detail the mechanism of injury, diagnostic findings, and treatment plans. These records are critical for proving the extent of ligamentous injuries and their impact on a patient’s life (Injury Medical & Chiropractic Clinic, 2025).
  • Providing Expert Testimony: Offering depositions or court testimony to explain the clinical significance of injuries, particularly in cases involving sciatica or chronic pain.
  • Collaborating with Attorneys: Working with a network of experienced personal injury attorneys to ensure that patients’ claims are supported by robust medical evidence.
  • Educating Patients: Guiding patients through the legal process, helping them understand their rights and the importance of consistent medical care.

Dr. Jimenez’s postgraduate training in accident injury evaluation equips him to handle the complexities of personal injury cases, making him an invaluable asset for MVA victims in El Paso (Injury Medical & Chiropractic Clinic, 2025).

Importance of Documentation in Personal Injury Cases

Proper documentation is essential for securing fair compensation in personal injury cases. Dr. Jimenez’s reports include:

  • Mechanism of Injury: A detailed explanation of how the MVA caused the ligamentous injury, supported by biomechanical analysis.
  • Diagnostic Findings: Results from imaging and clinical evaluations confirm the presence of ligament damage or sciatica.
  • Treatment Protocols: A clear outline of the interventions used, such as spinal decompression or manual adjustments, and their expected outcomes.
  • Prognosis: An assessment of the patient’s long-term recovery potential, including any risk of chronic pain or disability.

This thorough documentation strengthens legal claims by providing objective evidence of the injury’s impact, ensuring that patients receive adequate compensation for medical costs, lost income, and emotional distress (Injury Medical & Chiropractic Clinic, 2025).

References

Injury Medical & Chiropractic Clinic. (2025). Dr. Alex Jimenez: Pioneering integrative care as a chiropractor and nurse practitioner. Retrieved from https://www.a4m.com

Treatment Approaches for Ligamentous Injuries and Sciatica

Treating ligamentous injuries and sciatica requires a multifaceted approach that addresses pain, inflammation, and biomechanical dysfunction. Dr. Jimenez’s integrative treatment protocols combine chiropractic care, functional medicine, and rehabilitation to promote healing and prevent recurrence.

Chiropractic Interventions

Chiropractic care is a cornerstone of Dr. Jimenez’s treatment plans, focusing on restoring spinal alignment and reducing nerve compression. Key interventions include:

  • Spinal Adjustments: Gentle manipulations to correct subluxations, alleviate pressure on the sciatic nerve, and stabilize injured ligaments.
  • Decompression Therapy: Non-surgical traction to relieve disc and nerve pressure, particularly effective for sciatica caused by ligamentous instability.
  • Soft Tissue Therapy: Techniques like myofascial release to reduce muscle spasms and inflammation around injured ligaments.

These interventions are tailored to each patient’s specific injuries, ensuring targeted relief and long-term recovery (Jimenez, 2024).

Functional Medicine and Nutritional Support

Dr. Jimenez’s functional medicine approach addresses the systemic factors that influence healing. This includes:

  • Anti-Inflammatory Diets: Recommending foods rich in omega-3 fatty acids, antioxidants, and fiber to reduce inflammation and support tissue repair.
  • Nutritional Supplements: Prescribing supplements like turmeric, magnesium, or collagen to promote ligament healing and reduce pain.
  • Metabolic Assessments: Using blood panels to identify deficiencies or imbalances that may delay recovery.

By optimizing the body’s internal environment, functional medicine enhances the effectiveness of chiropractic interventions (Jimenez, 2024).

Rehabilitation and Functional Strength Training

Rehabilitation is critical for restoring mobility and preventing re-injury. Dr. Jimenez designs individualized programs that include:

  • Mobility Exercises: Stretching and range-of-motion exercises to improve flexibility and reduce stiffness.
  • Strength Training: Targeted exercises to strengthen muscles supporting the spine and ligaments, reducing the risk of instability.
  • Agility Training: Activities to enhance coordination and balance, particularly for patients recovering from sciatica.

These programs are progressive, starting with gentle movements and advancing to more intensive exercises as the patient’s condition improves (Jimenez, 2024).

Long-Term Management and Prevention

To prevent chronic pain or recurrent injuries, Dr. Jimenez emphasizes long-term management strategies, such as:

  • Posture Correction: Educating patients on proper posture to reduce stress on ligaments and the spine.
  • Lifestyle Modifications: Encouraging regular exercise, stress management, and ergonomic adjustments to support spinal health.
  • Follow-Up Care: Scheduling regular check-ups to monitor progress and address any emerging issues.

These strategies empower patients to take control of their health and minimize the risk of future injuries (Jimenez, 2024).

References

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

The Importance of Early Intervention

Early intervention is critical for preventing the progression of ligamentous injuries and sciatica. Delaying treatment can lead to chronic pain, permanent nerve damage, or disability, particularly in cases involving the sciatic nerve. Dr. Jimenez advocates for prompt evaluation following a motor vehicle accident (MVA), even if symptoms are not immediately apparent (Jimenez, 2024).

Benefits of Early Treatment

  • Reduced Inflammation: Early interventions, such as chiropractic adjustments or anti-inflammatory therapies, can minimize swelling and nerve irritation.
  • Faster Recovery: Promptly addressing ligament damage promotes tissue healing and prevents compensatory injuries.
  • Improved Legal Outcomes: Documenting injuries promptly strengthens personal injury claims by establishing a clear link between the motor vehicle accident (MVA) and the patient’s condition.
  • Prevention of Chronic Pain: Early treatment reduces the risk of sciatica or ligamentous injuries becoming chronic, improving long-term quality of life.

Dr. Jimenez’s clinic offers same-day appointments and telehealth consultations to ensure that patients receive timely care, regardless of their circumstances (Injury Medical & Chiropractic Clinic, 2025).

Warning Signs to Watch For

Patients should seek immediate medical attention if they experience:

  • Severe Pain: Intense or worsening pain in the back, neck, or legs.
  • Numbness or Tingling: Sensations that persist or spread, indicating potential nerve compression.
  • Loss of Mobility: Difficulty moving or performing daily tasks.
  • Neurological Symptoms: Weakness, loss of reflexes, or changes in bowel or bladder control, which may indicate a serious injury.

These symptoms warrant urgent evaluation to prevent complications and ensure optimal recovery (Jimenez, 2024).

References

Injury Medical & Chiropractic Clinic. (2025). Dr. Alex Jimenez: Pioneering integrative care as a chiropractor and nurse practitioner. Retrieved from https://www.a4m.com

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

Why Choose Dr. Alexander Jimenez for Personal Injury Care in El Paso?

Dr. Jimenez’s Injury Medical & Chiropractic Clinic is a premier destination for MVA victims in El Paso, offering a unique combination of clinical expertise, compassionate care, and legal support. His practice stands out for several reasons:

  • Comprehensive Care: Combining chiropractic, functional medicine, and rehabilitation to address all aspects of ligamentous injuries and sciatica.
  • Advanced Technology: Utilizing state-of-the-art imaging and diagnostic tools to ensure accurate diagnoses and effective treatments.
  • Patient-Centered Approach: Providing personalized care plans tailored to each patient’s needs and goals.
  • Community Trust: With over 25 years of service, Dr. Jimenez has earned the trust of the El Paso community, as evidenced by numerous patient testimonials (Injury Medical & Chiropractic Clinic, 2025).
  • Legal Expertise: Serving as a reliable legal-medical liaison, ensuring that patients’ injuries are well-documented and fairly represented in legal proceedings.

Patients at Dr. Jimenez’s clinic benefit from a holistic approach that alleviates pain and empowers them to achieve long-term health and wellness. His commitment to education, through resources like his website (https://dralexjimenez.com) and blog (https://chiromed.com), further enhances patients’ understanding of their conditions and treatment options (Injury Medical & Chiropractic Clinic, 2025).

References

Injury Medical & Chiropractic Clinic. (2025). Dr. Alex Jimenez: Pioneering integrative care as a chiropractor and nurse practitioner. Retrieved from https://www.a4m.com

Conclusion

Ligamentous injuries from motor vehicle accidents are a significant health concern, with the potential to cause chronic pain and conditions like sciatica. In El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, stands out as a leading provider for personal injury victims, offering integrative care that combines advanced imaging, diagnostic evaluations, and dual-scope procedures. His expertise as a legal-medical liaison ensures that patients receive both the medical treatment and legal support they need to recover and thrive.

By addressing the root causes of ligamentous injuries and sciatica, Dr. Jimenez helps patients regain their quality of life while navigating the complexities of personal injury cases. If you or a loved one has been injured in an MVA, contact Dr. Jimenez’s Injury Medical & Chiropractic Clinic at 915-850-0900 or visit https://dralexjimenez.com to schedule an appointment. Early intervention is key to a full recovery, and Dr. Jimenez is here to guide you every step of the way.

References

Injury Medical & Chiropractic Clinic. (2025). Dr. Alex Jimenez: Pioneering integrative care as a chiropractor and nurse practitioner. Retrieved from https://www.a4m.com

Jimenez, A. (2024). Ligamentous injuries from motor vehicle accidents and their connection to sciatica in El Paso. Retrieved from https://storage.googleapis.com/msgsndr/f7MqhebiCT4QYAjutsvR/media/67227299da17a52064941478.pdf

National Highway Traffic Safety Administration. (2023). Traffic safety facts: 2021 data. Retrieved from https://www.nhtsa.gov

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

Paraspinal Muscle Tension: Understanding the Impacts

Can a paraspinal muscle spasm in the lower back create a chain reaction leading to hamstring spasms and potential sciatic nerve entrapment?

Paraspinal Muscle Spasm Chain Reaction

A paraspinal muscle spasm in the lower back can cause a cascade of events, including: (Cedars-Sinai, 2025)

  • Spasms in other lower back muscles
  • Hamstring spasms
  • Potential entrapment of the sciatic nerve

Leading to symptoms similar to sciatica: 

  • Pain
  • Sore, achy muscles
  • Weak muscles
  • Numbness
  • Tingling along the back of the leg

Possible Mechanisms

Triggering Muscle Spasms in the Lower Back

  • Paraspinal muscles are located along the spine and help to stabilize and support the lower back.
  • When these muscles spasm, they can become tense and painful, causing a chain reaction.
  • This tension can radiate down and affect other muscles in the lower back. (Noonan A. M., & Brown S. H. M., 2021)

Can Affect Lower Back Muscles and Cause Hamstring Spasms

  • Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
  • The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
  • This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.

Entrapment of the Sciatic Nerve

  • Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
  • The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
  • If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)

How acupuncture helps relieve sciatica

Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)

Releases endorphins

  • Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.

Reduces inflammation

  • Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)

Improves circulation

  • By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.

Relaxes tight muscles

  • Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.

Regulates the nervous system

  • Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)

Promotes regeneration

  • Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)

Needling Types

Distal needling

  • Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation. 

Local needling

  • Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)

Holistic approach

  • Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Chiropractic and Integrative Healthcare

References

Cedars Sinai. (2025). Piriformis Syndrome. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/piriformis-syndrome.html#:~:text=Overview,can%20run%20through%20the%20muscle)

Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171

Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp

Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108

Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief

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

Back Pain When Walking: A Comprehensive Guide

For individuals with lower back pain when walking, could they have injured a muscle or have an underlying condition affecting the joints, ligaments, or nerves?

Back Pain When Walking

Lower back pain when walking can occur for a variety of reasons. It can result from poor posture, injuries, muscle fatigue, or an underlying condition. Specific injuries, like muscle strains, can affect the ligaments in the spine and cause pain. Muscles that have not been used often can result in fatigue and pain. Specific health conditions, such as degenerative disc disease, spinal stenosis, herniated discs, sciatica, or even sacroiliac joint dysfunction, can cause lower back pain. Factors like overexertion or improper gait can exacerbate it.

Muscle Issues

Muscle strains, ligament sprains, or fatigue can cause lower back pain when walking. Pain can occur after walking or come on gradually from wear and tear without an apparent cause, as follows (American Association of Neurological Surgeons, 2024)

Strains

  • Occur when the fibers in the back are overstretched or torn.
  • Pain from muscle strains is usually worse during activity and better when resting.

Sprains

  • It occurs when the ligaments that connect bone to bone become detached.
  • If the muscles do not adequately support the spine, the spinal joints absorb more pressure, which can lead to injury to the spinal ligaments.

Fatigue

  • It can happen from overexertion and lead to lower back pain when walking.
  • It could occur when walking longer than the body is used to, on uneven surfaces that make the muscles work harder to help maintain balance, or climbing hills that cause you to lean forward while walking.

Degenerative Disc Disease

  • Between each vertebra is a disc that provides cushioning between the bones.
  • As the disc wears down, surrounding muscles, ligaments, joints, and nerves in the spine absorb more pressure, causing damage.
  • Degenerative disc disease is a wear-and-tear condition that becomes more common as individuals age and is a common cause of lower back pain.
  • Healthcare providers recommend walking as a low-impact activity for individuals with the disease. However, if the condition is more severe, individuals could experience pain from this exercise, especially when walking on hard surfaces. (Hospital for Special Surgery, 2024)

Sciatica

Sciatica pain occurs when a nerve exiting the spine in the lower back becomes compressed or pinched. It is a common symptom of a herniated disc, in which a disc moves out of place and puts pressure on nearby nerves. In addition to lower back pain, sciatica can cause pain in the hip, the back of the thigh, and down the leg. Sciatica can also cause: (American Academy of Orthopaedic Surgeons, 2021)

  • Numbness
  • Tingling
  • Muscle cramps
  • Leg muscle weakness

Healthcare providers often recommend walking as a safe form of physical activity for individuals with sciatica. However, individuals should avoid twisting or bending forward. (American Academy of Orthopaedic Surgeons, 2021) To decrease pain, avoid walking on uneven surfaces or uphill.

Lumbar Spinal Stenosis

  • Spinal stenosis is a wear-and-tear condition that often affects the lumbar spine/five vertebrae in the lower back.
  • It causes the space surrounding the spinal cord to narrow.
  • Sometimes, the narrowing can add pressure on the nerves, resulting in numbness, tingling, and weakness in the legs. (American Academy of Orthpaedic Surgeons, 2021)
  • Lumbar spinal stenosis typically causes pain when standing upright, including when walking.
  • Many with this condition find that leaning slightly forward helps to reduce the pain by opening up the compressed areas.

Hyperlordosis

Lordosis describes the normal curve in the spine in the lower back. However, when this curve is exaggerated, it causes hyperlordosis or swayback. (American Academy of Orthopaedic Surgeons, 2020) Hyperlordosis affects the range of motion, putting abnormal pressure on the muscles, ligaments, and joints. It also reduces the spine’s ability to absorb shock correctly when walking, leading to pain. (Cedars-Sinai, 2025)

Prevention Strategies

Individuals can take steps to reduce their risk of lower back pain when walking, even if they’ve been diagnosed with a condition that can potentially cause this symptom. Walking can decrease chronic low back pain for some. (Suh J. H. et al., 2019) As with any new exercise program, check with a healthcare provider to ensure that walking for exercise is appropriate for the injury, condition, or disease and is safe. Recommended tips: (Harvard Health Publishing, 2015)

  • Wear shoes made for walking.
  • Perform gentle lower back stretches before walking.
  • Start slowly by walking for a few minutes, then gradually increase the time.
  • Walk on a smooth surface, such as a sidewalk or athletic track, or indoors, such as in a shopping center or mall.
  • Warm up and cool down by walking slowly at the beginning and end of the walk.
  • This allows the back and leg muscles to warm up before exercise and recover afterward.
  • Walk at a slow to moderate pace/speed that allows one to converse.
  • Standing up straight while walking or standing upright reduces pressure on the lower back.

Alternative Exercise

If there is still back pain when walking, it might not be an appropriate exercise for the individual and/or how their condition presents symptoms. Alternate activities can include: (Hospital for Special Surgery, 2023)

Elliptical Trainer

  • This exercise keeps the feet in contact with the pedals, putting less shock-absorbing pressure on the spine than walking.

Recumbent Biking

  • will keep the back upright, which is recommended if there is more pain when bending forward.

Upright Stationary Biking

  • This is recommended if the back pain improves when bending forward.

Walking In A Pool

  • This activity provides benefits while reducing pressure on the spine.
  • To target different muscles, try walking laps in waist-deep water in multiple directions (forward, backward, and side to side).

Water Aerobics

  • This activity provides cardiovascular health benefits with decreased pressure on the back.

Injury Medical Chiropractic & Functional Medicine Clinic

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

Beyond Adjustments: Chiropractic and Integrative Healthcare

References

American Association of Neurological Surgeons. (2024). Low back strain and sprain. https://www.aans.org/patients/conditions-treatments/low-back-strain-and-sprain/

Hospital for Special Surgery. (2024). Degenerative disc disease. https://www.hss.edu/condition-list_degenerative-disc-disease.asp

American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases–conditions/sciatica

American Academy of Orthpaedic Surgeons. (2021). Lumbar spinal stenosis. https://orthoinfo.aaos.org/en/diseases–conditions/lumbar-spinal-stenosis/

American Academy of Orthopaedic Surgeons. (2020). Spine basics. https://orthoinfo.aaos.org/en/diseases–conditions/spine-basics/

Cedars-Sinai. (2025). Swayback (lordosis). https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/swayback-lordosis.html

Suh, J. H., Kim, H., Jung, G. P., Ko, J. Y., & Ryu, J. S. (2019). The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine, 98(26), e16173. https://doi.org/10.1097/MD.0000000000016173

Harvard Health Publishing. (2015). 5 tips for getting started with a walking program. https://www.health.harvard.edu/exercise-and-fitness/get-started

Hospital for Special Surgery. (2023). Best types of exercise for back pain. https://www.hss.edu/article_best-exercise-lower-back-pain.asp

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

Lidocaine Patch for Pain Relief: An Overview

For individuals experiencing lower back pain and sciatica symptoms, can using a lidocaine patch help?

Lidocaine Patch

Lidocaine patches are in a drug class called local anesthetics (MedlinePlus, 2025) (Food and Drug Administration, 2022). They relieve pain in small body areas by blocking the nerves from sending pain signals. The Food and Drug Administration approved lidocaine 5% or 1.8% patches for relieving postherpetic neuralgia (PHN) pain. These lidocaine patches are prescription-only (Food and Drug Administration, 2022). They are available either by prescription or over the counter and are commonly used for back pain and other areas. Over-the-counter lidocaine, 4% patches, can be used to relieve minor aches and pains, including back pain. However, further research is needed to recommend the use of lidocaine patches as an effective method of pain relief. (Department of Veterans Affairs/Department of Defense, 2022) (North American Spine Society, 2020)

The Patch

They are available in prescription and over-the-counter forms. Over-the-counter forms come as a 4% patch in various brands, such as (MedlinePlus, 2025)

  • Aspercreme
  • Lidocare
  • Salonpas

Prescription-only patches come in 5% or 1.8% patches and are approved to relieve long-term nerve pain from shingles in adults. Zlido is a brand name for a 1.8% lidocaine patch. Five percent lidocaine patches are available generically. (DailyMed, 2018) (Food and Drug Administration, 2021) The safety and effectiveness in children are unknown. (Food and Drug Administration, 2022)

Other Lidocaine Forms

As a local anesthetic, it is available in several other forms, including:

  • Spray
  • Topical cream
  • Lotion
  • Liquid
  • Ear drops
  • Eye gel
  • Injection
  • It is also available as a short-term intravenous infusion for abnormal heart rhythm. (DailyMed, 2025)

Effectiveness

Clinical trials have shown that the patches effectively relieve chronic low back pain. However, these studies were nonrandomized and did not include a control group to compare against the treatment group. (Santana J. A., Klass S., & Felix E. R. 2020) The results may be subject to potential biases. For this reason, further evidence is needed to support lidocaine patches’ effectiveness in reducing low back pain. (North American Spine Society, 2020) High-quality randomized and controlled clinical trials are necessary to study the effectiveness. (North American Spine Society, 2020) (Santana J. A., Klass S., & Felix E. R. 2020)

How to Use Safely

In general, keep the following in mind (MedlinePlus, 2025)

  • Use according to the directions on the box and the healthcare provider’s recommendations.
  • Do not use on broken or inflamed, swollen skin.
  • Do not apply heat like heating pads or electric blankets over patches.
  • Avoid getting water on or around the patch.
  • Avoid letting a patch near your eyes to limit eye irritation.
  • Fold the sticky sides of the used lidocaine patches together and safely throw them away, keeping them away from children and pets.

How to use (MedlinePlus, 2025)

  • Clean and dry the affected area before placing the patch.
  • Apply to the affected body area as directed.
  • Wash your hands after touching the patch.
  • Remove the patch after what is usually recommended after eight hours.

How Quickly Does It Work?

The amount of medication absorbed into the blood depends on how long the patch is placed on the body and how much is covered with the patch. In a study, healthy participants wore three lidocaine patches on their backs for 12 hours on and 12 hours off during 24 hours. Lidocaine levels were highest at 11 hours. At the end of the 24 hours, there was still some lidocaine left in the bloodstream. (Food and Drug Administration, 2022)

Individuals with PHN may notice a difference in pain intensity after four hours of using the patch. (Rowbotham, M. C. et al., 1996) (Food and Drug Administration, 2022) Experts may suggest using patches for four weeks for those who experience pain after their shingles rash disappears. However, if there is still pain after these four weeks, it is recommended to see a pain specialist. (Gross, G. E. et al., 2020)

Side Effects

Common side effects are typically mild skin reactions where the patch is.  These reactions are usually temporary and will disappear within a few minutes or hours. Examples include: (Food and Drug Administration, 2022)

  • Irritation
  • Itchiness
  • Abnormal or burning sensation
  • Redness
  • Swelling
  • Blisters
  • Bruises
  • Skin bumps
  • Skin color changes
  • Skin peeling

Potentially serious side effects include: (Food and Drug Administration, 2022)

Serious Allergic Reaction

  • Severe allergic reactions are rare, but it is possible.
  • Symptoms include breathing problems, itchiness, and rash.

Methemoglobinemia

  • Methemoglobinemia is a condition that makes it hard for red blood cells to carry oxygen.
  • Individuals may experience symptoms of blue-looking skin, headache, lightheadedness, shortness of breath, abnormal heart rhythm, or seizures.

Using too many lidocaine patches to cover large parts of the body or using the patches longer than 12 hours within 24 hours may cause side effects that may include heart-related effects, such as a slow heart rate and low blood pressure.  Individuals may also experience the following side effects (Food and Drug Administration, 2022)

  • Hot or cold sensation
  • Numbness
  • Dizziness
  • Ringing ears
  • Lightheadedness
  • Mood changes
  • Drowsiness to unconsciousness
  • Vision changes
  • Seizures
  • Tremors
  • Vomiting

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.

Sciatica Causes and Treatments

References

National Library of Medicine. MedlinePlus. (2025). Lidocaine transdermal patch. Retrieved from https://medlineplus.gov/druginfo/meds/a603026.html

Food and Drug Administration. (2022). Lidoderm label. Retrieved from https://www.accessdata.fda.gov/spl/data/eedfe43b-1019-19a0-e053-2995a90a7696/eedfe43b-1019-19a0-e053-2995a90a7696.xml

Department of Veterans Affairs/Department of Defense. (2022). VA/DoD clinical practice guideline for the diagnosis and treatment of low back pain. Retrieved from https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPGFinal508.pdf

North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: diagnosis and treatment of low back pain. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

National Library of Medicine. DailyMed. (2018). Label: lidocaine patch. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154

Food and Drug Administration. (2021). Ztlido label. Retrieved from https://www.ztlido.com/wp-content/uploads/2022/12/ZTlido-LABEL.pdf

National Library of Medicine. DailyMed. (2025). Lidocaine-lidocaine hydrochloride injection, solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f1b26274-a55e-4321-b96c-ce0df830f205

Santana, J. A., Klass, S., & Felix, E. R. (2020). The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. PM & R: the journal of injury, function, and rehabilitation, 12(12), 1260–1267. https://doi.org/10.1002/pmrj.12366

Rowbotham, M. C., Davies, P. S., Verkempinck, C., & Galer, B. S. (1996). Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain, 65(1), 39–44. https://doi.org/10.1016/0304-3959(95)00146-8

Gross, G. E., Eisert, L., Doerr, H. W., Fickenscher, H., Knuf, M., Maier, P., Maschke, M., Müller, R., Pleyer, U., Schäfer, M., Sunderkötter, C., Werner, R. N., Wutzler, P., & Nast, A. (2020). S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology: JDDG, 18(1), 55–78. https://doi.org/10.1111/ddg.14013

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

Relief from Thigh Pain Associated with Sciatica: Proven Methods

Can individuals dealing with sciatica incorporate nonsurgical treatments to reduce thigh pain and restore mobility in the legs and hips?

The Tensor Fascia Latae

Do you feel stiffness or tightness in your legs, feet, and hips? Have you experienced walking crookedly when running errands? Or have you experienced radiating pain from your gluteal region down to your feet? The hips, thighs, and legs have numerous muscles, tissues, and ligaments surrounding the skeletal bone in the body’s lower extremities. These components allow the lower half of the body to stabilize the upper body’s weight and enable the individual to be mobile throughout the day. One muscle that works together is the tensor fasciae latae (TFL) muscle. The TFL muscle is part of the proximal anterolateral thigh between the deep fibers of the iliotibial (IT) band. It works with the gluteal muscles in various hip movements and assists with the knees. (Trammell et al., 2025) This muscle is poorly misunderstood as it helps with the hips and knee joint and pelvic stability. (Iyengar et al., 2022) At the same time, it has a casual relationship with the IT band.

The Iliotibial Band (ITB)

The iliotibial (IT) band is part of the lower extremities as it is a tough, fibrous fascial tissue that works together with the TFL muscle and has various functional roles that are dependent on posture and allows the individual to be mobile via walking, sprinting, and running. (Hutchinson et al., 2022) However, this muscle’s main function is knee flexion. When environmental factors affect the body, it can cause irritation and inflammation to the IT band, causing knee pain. (Martinez-Velez et al., 2020) When dealing with issues within their lower extremities, they affect the IT band, TFL muscle, and the thighs. Environmental factors can also affect the lower extremities as the surrounding muscles can aggravate the nerve roots, thus leading to sciatica pain. We associate with certified medical providers who inform our patients of how sciatica can negatively impact the lower extremities, especially the thighs. While asking important questions to our associated medical providers, we advise patients to integrate various non-invasive treatments to reduce sciatica and help regain mobility back to the lower body. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

Reclaim Your Mobility: Chiropractic Care For Sciatica Recovery-Video

Sciatica & Thigh Pain

When the general population hears about sciatica, it is a frequent diagnosis associated with low back pain, which causes discomfort within the lower extremities, especially in the thighs. Sciatica is a debilitating condition where the sciatic nerve is often compressed and irritated, causing pain. (Davis et al., 2025) Many influences cause sciatica to develop, and it can cause the individual to deal with a spinal imbalance, which correlates with walking incorrectly, causing the accessory muscles to work overtime and compressing the sciatic nerve, causing thigh pain. (Wang et al., 2022) With thigh pain correlating with sciatica, many symptoms can range from muscle weakness, absence of tendon reflexes to the knees, and sensory deficit. (Fairag et al., 2022) Luckily, treatments are available to reduce thigh pain associated with sciatica and regain mobility back to the lower extremities.

Treatments For Sciatica-Thigh Pain

When treating the lower extremities, especially when experiencing sciatica-thigh pain, many individuals with thigh pain associated with sciatica can incorporate non-invasive treatments to reduce the pain. Many athletic and non-athletic individuals can utilize PRICE (protection, rest, ice, compression, and elevation) to the affected muscles that can minimize the injuries causing pain. (Lempainen et al., 2022) This can help reduce the inflammatory effects causing issues to the thighs and lower extremities. Many non-surgical treatments like physio-exercise therapy, massages, stretching, and spinal stabilization therapies can improve core strength and posture and help with range of motion to relieve sciatica pain affecting the lower extremities. (Aguilar-Shea et al., 2022) Other non-surgical treatments like yoga, physical therapy, and chiropractic care can help improve joint and lower extremity motions, stretch and strengthen weak muscles surrounding the thighs, and relieve sciatic nerve pain. (Kim & Yim, 2020) When people start thinking about their bodies and how pain is affecting their quality of life, many can incorporate non-surgical treatments to reduce the pain associated with sciatica. Many people can make small positive changes in their routine by becoming more physically active, stretching more, eating healthier, and being more mindful of what they are doing, which can reduce the chances of sciatica returning and affecting the lower extremities. This can help them achieve a healthier, better life.

References

Aguilar-Shea, A. L., Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Management for family physicians. J Family Med Prim Care, 11(8), 4174-4179. https://doi.org/10.4103/jfmpc.jfmpc_1061_21

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2025). Sciatica. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/29939685

Fairag, M., Kurdi, R., Alkathiry, A., Alghamdi, N., Alshehri, R., Alturkistany, F. O., Almutairi, A., Mansory, M., Alhamed, M., Alzahrani, A., & Alhazmi, A. (2022). Risk Factors, Prevention, and Primary and Secondary Management of Sciatica: An Updated Overview. Cureus, 14(11), e31405. https://doi.org/10.7759/cureus.31405

Hutchinson, L. A., Lichtwark, G. A., Willy, R. W., & Kelly, L. A. (2022). The Iliotibial Band: A Complex Structure with Versatile Functions. Sports Med, 52(5), 995-1008. https://doi.org/10.1007/s40279-021-01634-3

Iyengar, K. P., Azzopardi, C., Kiernan, G., & Botchu, R. (2022). Isolated pathologies of Tensor Fasciae Latae: Retrospective cohort analysis from a tertiary referral centre. J Clin Orthop Trauma, 29, 101870. https://doi.org/10.1016/j.jcot.2022.101870

Kim, B., & Yim, J. (2020). Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. Tohoku J Exp Med, 251(3), 193-206. https://doi.org/10.1620/tjem.251.193

Lempainen, L., Mecho, S., Valle, X., Mazzoni, S., Villalon, J., Freschi, M., Stefanini, L., Garcia-Romero-Perez, A., Burova, M., Pleshkov, P., Pruna, R., Pasta, G., & Kosola, J. (2022). Management of anterior thigh injuries in soccer players: practical guide. BMC Sports Sci Med Rehabil, 14(1), 41. https://doi.org/10.1186/s13102-022-00428-y

Martinez-Velez, A., Suwan, P., & Dua, A. (2020). Iliotibial band syndrome in non-athletes. Minerva Anestesiol, 86(10), 1111-1112. https://doi.org/10.23736/S0375-9393.20.14194-4

Trammell, A. P., Nahian, A., & Pilson, H. (2025). Anatomy, Bony Pelvis and Lower Limb: Tensor Fasciae Latae Muscle. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/29763045

Wang, L., Li, C., Wang, L., Qi, L., & Liu, X. (2022). Sciatica-Related Spinal Imbalance in Lumbar Disc Herniation Patients: Radiological Characteristics and Recovery Following Endoscopic Discectomy. J Pain Res, 15, 13-22. https://doi.org/10.2147/JPR.S341317

Disclaimer

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

Muscle Relaxers for Back Spasms: What You Need to Know

For individuals who injure their neck or back, the muscles may spasm or seize up, making it difficult to get through the day, exercises, physical activities, etc. Can skeletal muscle relaxers help relieve pain and reduce frequency?

Back Spasms Muscle Relaxers

Back muscle spasms are common back pain that feels like a sudden tightness or contraction in the back muscles. They can range from minor twinges to severe pain.

Causes

  • Poor posture: Sitting or standing with bad posture can strain the back muscles.
  • Overuse: Picking something up, bending, or lifting can cause a spasm.
  • Dehydration: Not drinking enough water can cause electrolyte imbalances, leading to spasms.
  • Underlying conditions: A herniated disc or degenerative disc disease can cause back spasms.
  • Muscle imbalances: Weak muscles or muscles that are too tight can cause spasms.

Treatments

  • Home treatments: Apply heat or ice, take over-the-counter pain medication, try gentle stretching, or massage the area.
  • Exercise: Improve your back’s strength and flexibility with exercise or physical therapy.
  • Hydration and nutrition: Drink enough water and eat foods rich in magnesium and calcium.
  • Chiropractic Adjustments: These can realign the spine to the correct position and muscles to relax.
  • Non-surgical Decompression: Decompression of the spine will allow more blood and nutrients to heal painful areas.

Skeletal Muscle Relaxers

A healthcare provider may prescribe skeletal muscle relaxers. These medications are not available over the counter and must be prescribed by a healthcare provider.

  • Skeletal muscle relaxers will probably cause drowsiness.
  • Individuals should not drive, operate heavy machinery, or engage in other physical activities when taking back spasm muscle relaxers.
  • Skeletal muscle relaxers are not recommended for 65 or older because safer, effective alternatives exist.
  • Also, women who are pregnant or breastfeeding should not take these medications.
  • Discuss these issues with your healthcare provider.

Carisoprodol 

Carisoprodol is available generically and as Soma and Vanadom brands. It works by suppressing nerve impulses located in the brain and spinal cord. Healthcare providers prescribe this medication in combination with physical therapy for the healing release of any muscle spasm and management of musculoskeletal injuries and/or pain. (Witenko C. et al., 2014) It’s not about having to continue taking the medication to feel better but more as a jump start to help with the physical therapy program.

  • Back muscle spasms are a perfect example of a condition that may benefit from carisoprodol in the short term.
  • Carisoprodol can be habit-forming.
  • Be sure to talk to a healthcare provider before suddenly going off this medication.
  • Carisoprodol can cause side effects that may impair thinking or reactions.
  • Avoid drinking alcohol as it may increase drowsiness and dizziness that are often caused by carisoprodol. (Zacny J. P., Paice J. A., & Coalson D. W. 2012)
  • Inform your healthcare provider of any drug allergies, kidney disease, or liver disease, or if you get seizures.

Cyclobenzaprine

Cyclobenzaprine is available as Amrix and in generic form. Like other muscle relaxers, cyclobenzaprine may cause dizziness or drowsiness. The sedation effects are how it works on painful, tension-filled muscles. Cyclobenzaprine is used together with physical therapy to treat skeletal muscle-related conditions and/or injuries, especially when pain or spasm is involved. When used in conjunction with physical therapy, it can help expedite recovery.

  • Cyclobenzaprine is chemically related to tricyclic antidepressants.
  • Although it is considered a derivative of the tricyclic antidepressant class, it does not pose the same risk to liver health.
  • According to the National Institutes of Health, reasons not to take this medication include having a thyroid disorder, heart block, congestive heart failure, a heart rhythm disorder, or having recently had a heart attack. (Witenko C. et al., 2014)

Metaxalone

Skelaxin is the brand name for metaxalone. As with the other muscle relaxers, metaxalone is used in combination with physical therapy and rest when muscles get too tight. (Witenko C. et al., 2014) It works by suppressing nerve impulses in the brain and spinal cord. In addition to older individuals and pregnant women, metaxalone is usually not prescribed for those with kidney disease, liver disease, seizures, or blood disorders.

Injury Medical Chiropractic and Functional Medicine Clinic

Back spasms and muscle relaxers could help individuals, along with a personalized physical therapy treatment program. 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.

Thoracic Spine Pain

References

Witenko, C., Moorman-Li, R., Motycka, C., Duane, K., Hincapie-Castillo, J., Leonard, P., & Valaer, C. (2014). Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain. P & T: a peer-reviewed journal for formulary management, 39(6), 427–435.

Zacny, J. P., Paice, J. A., & Coalson, D. W. (2012). Subjective and psychomotor effects of carisoprodol in combination with oxycodone in healthy volunteers. Drug and alcohol dependence, 120(1-3), 229–232. https://doi.org/10.1016/j.drugalcdep.2011.07.006

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

How a Massage Gun Can Help Ease Pregnancy Pain and Fatigue

Stress on the lower back during pregnancy often leads to back (upper, middle, lower), sciatica, and leg pain. Can you use a massage gun while pregnant?

Pregnancy Massage Gun Use

Pregnant women often experience back, hip, and leg pain along with symptoms such as swelling (edema), muscle spasms, cramps, and fatigue, which interfere with daily functions and sleep. Pregnancy massage gun use is a safe and helpful form of stress and tension relief, so long as healthcare providers and safety precautions are followed and sensitive areas are avoided. Massage guns use percussion and vibration to create a form of massage that can relieve tension, stiffness, and muscle soreness, break up tissue adhesions, and reduce inflammation. Moreover, pregnancy massage can provide relaxation and pain relief for muscles and joints that are adapting to a growing, changing body. Traditional massage therapy and massage gun therapy have been shown to help reduce muscle soreness and pain. (Imtiyaz S., Veqar Z., & Shareef M. Y. 2014) The benefits of pregnancy massage gun use include:

However, it is essential to discuss massage gun use with a healthcare professional and follow safety precautions when using massage guns during pregnancy.

Benefits

While there is no specific research on the benefits of massage guns for pregnant individuals, studies have demonstrated the general benefits of massage during pregnancy, including deep tissue massage. Therapeutic massage effectively reduces pregnancy discomforts and pain and is a safe and affordable method of pain relief. (El-Hosary EA, Abbas Soliman HF, El-Homosy SM. 2016) Researchers believe this relief helps improve the health of mother and baby in ways that include. (El-Hosary EA, Abbas Soliman HF, El-Homosy SM. 2016) (Mueller S. M., & Grunwald M. 2021)

  • Improves cardiovascular health
  • Overall circulation improves
  • Increases serotonin and dopamine levels
  • Decreases chronic back pain
  • Relieves muscle aches and joint pains
  • Improves sleep patterns
  • Increases energy
  • Reduces anxiety
  • Increases immune response
  • Enhances sense of well-being and mood
  • Reduces risk of preterm delivery

Massage Gun Safety

Pregnancy massage gun use is generally safe for those who do not have preexisting conditions. (Mueller S. M., & Grunwald M. 2021) However, there are no studies on the safety of massage guns or other massage tools for pregnant individuals. It is recommended to discuss the use of massage guns with a doctor before use.

When to Avoid Massage Therapies

Pregnant individuals should avoid pregnancy massage of any kind if any of the following conditions are present (American Massage Therapy Association, 2018)

High-risk Pregnancy

  • Individuals with high-risk factors, such as bleeding, pre-term contractions, and preeclampsia, should avoid using massage guns unless a doctor clears them to do so.

Preeclampsia

  • This condition causes a rise in blood pressure that can be serious.
  • It typically develops around 20 weeks of pregnancy or later.

Deep Vein Thrombosis – DVT

  • Avoid using a massage gun if there is a history of deep vein thrombosis.
  • Blood volume increases during pregnancy, and leg circulation can be poor.
  • Certain hormones that prevent hemorrhage during delivery can cause blood to clot more easily.
  • Using a massage gun on areas with potential blood clots may release the clot, leading to a life-threatening embolism. (Sutham K. et al., 2020)
  • Compression socks are a better alternative for relieving leg pain and swelling, but follow the healthcare provider’s recommendations.

Placenta Previa, Accrete, or Abruption

  • These conditions involve the placenta, which can lead to bleeding.

Gestational Diabetes

  • High blood sugar levels do not necessarily mean individuals cannot use a massage gun during pregnancy.
  • However, speak to a doctor and monitor blood sugar before use.

How to Use

Although there are no specific expert directions for the use of massage guns during pregnancy, there are guidelines to consider while using the device. This includes:

  • Never place the massage gun directly over bones, nerves, or joints.
  • Avoid using the device around injured, swollen, or painful areas.
  • Avoid using a massage gun directly on the abdomen.

Additional Tips (Hospital for Special Surgery, 2021)

  • Start by trying a light 10- to 15-second pass over sore or tight areas.
  • Perform three to five sweeps over the location, then move on to another.
  • Be careful not to keep the gun on a single area too long, as you could overwork the muscle, leading to bruising and irritation.
  • The recommended time for leaving the massager in one area is two minutes.
  • Stop using the massage gun if there is unusual pain, sensations, or discomfort.

Injury Medical Chiropractic and Functional Medicine Clinic

Massage during pregnancy can help relieve symptoms such as anxiety, stress, pain, discomfort, tightness, and poor circulation. Regular massage can help improve sleep and can even benefit the baby. However, it is recommended to consult with a doctor about using a massage gun before trying it out. Injury Medical Chiropractic and Functional Medicine Clinic can help individuals recover and regain the benefits of quality rest through healthy sleep practices and lifestyle accommodations. We build optimal health and wellness solutions with primary healthcare providers and specialists. 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.

Pregnancy and Sciatica: How Chiropractic Helped

References

Imtiyaz, S., Veqar, Z., & Shareef, M. Y. (2014). To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS). Journal of clinical and diagnostic research: JCDR, 8(1), 133–136. https://doi.org/10.7860/JCDR/2014/7294.3971

American Massage Therapy Association. (2011). Pregnancy Massage. https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-pregnancy/

El-Hosary EA, Abbas Soliman HF, El-Homosy SM. (2016). Effect of Therapeutic Massage on Relieving Pregnancy Discomforts. IOSR Journal of Nursing and Health Science., 5(4), 57-64. https://doi.org/10.9790/1959-0504025764

Mueller, S. M., & Grunwald, M. (2021). Effects, Side Effects and Contraindications of Relaxation Massage during Pregnancy: A Systematic Review of Randomized Controlled Trials. Journal of Clinical Medicine, 10(16), 3485. https://doi.org/10.3390/jcm10163485

American Massage Therapy Association. (2018). Massage and pregnancy: A powerful combination. https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-pregnancy-a-powerful-combination/

Sutham, K., Na-Nan, S., Paiboonsithiwong, S., Chaksuwat, P., & Tongsong, T. (2020). Leg massage during pregnancy with unrecognized deep vein thrombosis could be life-threatening: a case report. BMC pregnancy and childbirth, 20(1), 237. https://doi.org/10.1186/s12884-020-02924-w

Hospital for Special Surgery. Surgery, H. F. S. (2021). What you should know about using a massage gun. https://www.hss.edu/article_how-to-use-massage-gun.asp

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

Sleeping with Lower Back Pain and Sciatica: Finding Relief 

Sleeping with lower back pain and sciatica can be difficult and frustrating. What are ways to get more comfortable sleep?

Sleeping With Lower Back Pain and Sciatica

Various factors can affect sleeping with lower back pain and sciatica, including age, injury and medical history, the mattress (e.g., soft vs. firm mattress), and sleep positions. Unfortunately, there’s no one-cure-all solution for this problem, and depending on the underlying cause/s, they can worsen the pain and cause sleep problems. For example, if a herniated disc places added pressure on the nerves in the lower back, twisting the spine can worsen the lower back pain, and sleeping in a fetal position can exacerbate the nerve pain. (UCF Health, N.D.)

Lower-Back Pain

Low-back pain can be activity-related, intermittent, or constant. (American Association of Neurological Surgeons, 2024) For some, it only occurs occasionally, such as when performing specific movements. For others, it can be excruciating, chronic, and disabling. Low-back pain is unique for everybody and can differ depending on the cause. Some low-back pain symptom descriptions include (Förster M. et al., 2013)

  • Aching pain deep in the back
  • Shooting pain flare-ups
  • Pain caused by slight pressure
  • Burning
  • Tingling

Sciatica Not Present

For some, low-back pain may be confined to a specific area known as axial back pain. (Förster M. et al., 2013) The pain may be felt in a band along the lower back and does not radiate down the legs or anywhere else.

Sciatica Present

Low-back pain with sciatica pain that radiates from the lower back or hip down the leg is the most common symptom of lumbar radiculopathy (compression of spinal nerve roots). (North American Spine Society, 2020) Sciatica symptoms include: (American Academy of Orthopaedic Surgeons, 2021)

  • Shooting pain from the lower back down the leg
  • Feeling like a bad leg cramp
  • Leg weakness
  • Sensory changes radiating down the leg – numbness, burning, and or tingling

Sleep Tools

Consider changing the mattress to improve sleeping with lower back pain and sciatica. For the best spinal support, choose a medium to firm mattress. Pillows, wedges, and other tools can also help improve sleep. (UCF Health, N.D.) It is recommended that individuals who sleep on their backs place a small pillow under their knees to reduce pressure on their lower backs. For those who sleep on their side, placing a pillow between the knees can keep the spine in a neutral/straight position. To relieve lower back pain, consider sleeping in a reclined, angled position with the head and shoulders higher than the hips. This can be accomplished with an adjustable bed or a wedge to prop the body in a regular bed.

Back Sleeping

Easing back pain while sleeping involves maintaining the body in a neutral or straight position. Extending the muscles, tendons, and ligaments too far in any one direction while sleeping with lower back pain and sciatica can cause stiffness, muscle spasms, and pain. Sleeping on the back puts the spine in neutral alignment with the least stress on the neck and back. It evenly distributes body weight to avoid exerting pressure on the joints and prevent backaches. In addition, a supine position allows outstretched ligaments to shrink and recover to their normal positions. (Keck Medicine of USC, 2019)

Chiropractic Assessment

Chiropractic care aims to help individuals improve movement with less pain due to condition, after injury, or surgery. A chiropractic physical therapy team may be best for individuals with acute back, neck, and musculoskeletal pain and discomfort symptoms. A chiropractor can quickly assess your condition and develop a customized treatment plan to expedite pain relief and improve mobility. 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.

Sciatica, Causes, Symptoms and Tips

References

UCF Health. (N.D.). The best sleeping position for lower back pain (and the worst). https://ucfhealth.com/our-services/lifestyle-medicine/best-sleeping-position-for-lower-back-pain/

American Association of Neurological Surgeons. (2024). Low back pain. https://www.aans.org/patients/conditions-treatments/low-back-pain/

Förster, M., Mahn, F., Gockel, U., Brosz, M., Freynhagen, R., Tölle, T. R., & Baron, R. (2013). Axial low back pain: one painful area–many perceptions and mechanisms. PloS one, 8(7), e68273. https://doi.org/10.1371/journal.pone.0068273

North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: Diagnosis and treatment of low back pain. North American Spine Society. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases–conditions/sciatica

Keck Medicine of USC. (2019). The best -and worst – sleep positions for back pain. Keck Medicine of USC Blog. https://www.keckmedicine.org/blog/the-best-and-worst-sleep-positions-for-back-pain/