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Tag: spine

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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 and Your Five Musculoskeletal Issues

Find out how chiropractic care can help alleviate five musculoskeletal issues and promote overall body wellness.

Chiropractic Care: A Solution for Common Musculoskeletal Issues and Personal Injury Recovery

Musculoskeletal issues can turn everyday tasks into daunting challenges, much like trying to dance like Herman Munster with a stiff neck and creaky joints! From back pain to wrist discomfort, these conditions affect millions, limiting mobility and quality of life. Fortunately, chiropractic care provides a non-invasive, drug-free approach to managing these issues, focusing on spinal and joint alignment to promote healing. In El Paso, TX, Dr. Alexander Jimenez, a chiropractor and board-certified nurse practitioner, stands out for his integrative approach, which combines chiropractic techniques with functional medicine to address conditions such as subluxation, scoliosis, disk degeneration, carpal tunnel syndrome, and Achilles tendonitis. This blog post explores how chiropractic care can help these issues, their impact on daily life, and Dr. Jimenez’s expertise in personal injury cases, with a dash of humor to keep things light—because who said healing can’t be fun?

Subluxation: Getting Your Spine Back in Line

What is Subluxation?

Picture your spine as a stack of building blocks, perfectly aligned to support your body. Now, imagine one block slipping out of place, throwing the whole tower off balance. That’s subluxation—a misalignment of the vertebrae that may press on nerves, causing pain and dysfunction. According to Cornerstone Family Chiropractic (2022), subluxations can result from trauma, poor posture, or stress, often leading to neck or back pain, headaches, or reduced mobility.

Symptoms of Subluxation

Subluxation can manifest as:

  • Persistent neck or back pain
  • Headaches or migraines
  • Muscle spasms
  • Numbness or tingling in arms or legs
  • Limited range of motion

These symptoms can make simple tasks, like sitting at a desk or lifting groceries, feel like climbing Mount Everest.

Impact on Daily Life

Living with subluxation is like driving a car with a wobbly wheel—it pulls you off course and makes every move uncomfortable. You might avoid exercise, struggle with work, or rely on painkillers, which only mask the problem. Over time, untreated subluxations could lead to chronic pain or nerve issues, affecting your overall health.

Chiropractic Treatment for Subluxation

Chiropractors use spinal adjustments to realign the vertebrae, thereby relieving nerve pressure and restoring normal function. These adjustments involve precise, gentle force to correct misalignments, much like tuning a guitar to hit the right notes. Terlep Chiropractic (2023) explains that this approach targets the connection between the spine and the nervous system, promoting natural healing.

Clinical Evidence

While the concept of subluxation is debated, with some critics questioning its impact on general health (Science-Based Medicine, 2010), many patients report relief from chiropractic care. A study in the Journal of Manipulative and Physiological Therapeutics found spinal manipulation effective for low back pain, often linked to subluxation (Bronfort et al., 1996). The evidence suggests chiropractic care can reduce pain and improve mobility, though more research is needed to clarify its broader effects.

Dr. Jimenez’s Approach

Dr. Alexander Jimenez, based in El Paso, brings a unique perspective with his dual licensure as a chiropractor and nurse practitioner. His practice, Injury Medical & Chiropractic Clinic, uses advanced diagnostics to identify subluxations and tailor treatments, combining spinal adjustments with functional medicine to address underlying causes. His holistic approach aims not just to relieve pain but to enhance long-term wellness, ensuring your spine stays as steady as Herman Munster’s iconic stomp!

References

Scoliosis: Straightening Out the Curves

What is Scoliosis?

Scoliosis is like your spine deciding to take a scenic detour, curving sideways in an “S” or “C” shape. This abnormal curvature, often developing in childhood due to unknown causes (idiopathic) or trauma, affects about 7 million Americans (Oviedo Chiropractic, 2020). Symptoms include uneven shoulders, hips, or back pain, especially in severe cases.

Symptoms of Scoliosis

Common signs include:

  • Back pain or discomfort
  • Uneven shoulders or hips
  • Reduced mobility or flexibility
  • Fatigue from muscle strain

These can make standing, sitting, or even walking feel like a balancing act gone wrong.

Impact on Daily Life

Scoliosis can turn daily activities into a struggle, like trying to waltz with Herman Munster’s clunky boots. Pain and uneven posture may limit physical activities, affect self-esteem, or cause fatigue, particularly in adolescents or adults with progressive curves. Severe cases might even impact breathing or organ function.

Chiropractic Treatment for Scoliosis

Chiropractors can’t fully straighten a scoliotic spine, but they can manage symptoms and improve function. Techniques include spinal adjustments, posture training, and exercises like those in the ScoliSMART method, which involves specialized rehabilitation (Treating Scoliosis, 2025). These aim to reduce pain and prevent curve progression.

Clinical Evidence

A 24-month study found that chiropractic rehabilitation reduced pain and improved Cobb angles in patients with adult scoliosis (Morningstar, 2011). However, a systematic review noted limited high-quality evidence for chiropractic’s ability to correct spinal curvature, suggesting it’s more effective for symptom relief (Lisi et al., 2013). Combining adjustments with exercises may offer the best outcomes.

Dr. Jimenez’s Approach

Dr. Jimenez’s practice emphasizes early intervention for scoliosis, using adjustments and tailored exercises to manage symptoms. His integrative approach, as noted on his website (https://dralexjimenez.com/), includes posture evaluations and rehabilitation plans to support spinal health, helping patients move with more ease than a Munster family dance party.

References

Disk Degeneration: Keeping Your Spinal Disks in Shape

What is Disk Degeneration?

Think of your spinal disks as jelly donuts cushioning your vertebrae. Over time, these donuts can lose their jelly, flattening and causing pain—this is a form of disk degeneration. Common in people over 55, it results from aging, genetics, or trauma, affecting about 40% of 40-year-olds and 80% of 80-year-olds (Advantage Spinal Dynamics, 2024).

Symptoms of Disk Degeneration

Symptoms include:

  • Chronic back or neck pain
  • Numbness or weakness in the legs
  • Pain worsened by sitting, lifting, or twisting
  • Stiffness or reduced flexibility

These can make bending, sitting, or even sleeping a painful ordeal.

Impact on Daily Life

Disk degeneration is like a creaky old chair—every move feels risky. It can limit your ability to work, exercise, or enjoy hobbies, forcing you to adapt your lifestyle or rely on temporary pain relief. Severe cases may lead to nerve damage or spinal instability.

Chiropractic Treatment for Disk Degeneration

Chiropractic care focuses on improving spinal alignment and reducing inflammation through adjustments and therapies. These can help relieve pressure on nerves and enhance mobility, especially in the early stages of degeneration. HealthCentral (2019) notes that chiropractors assess whether disk issues, spinal joint dysfunction, or stenosis cause the pain, tailoring treatments accordingly.

Clinical Evidence

A case study of a 74-year-old veteran demonstrated significant pain relief and improved mobility following chiropractic care for degenerative disc disease (Daniels & Morrell, 2012). While effective for pain management, chiropractic is less likely to reverse advanced degeneration, highlighting the importance of early intervention.

Dr. Jimenez’s Approach

Dr. Jimenez utilizes advanced diagnostics to assess disk degeneration, combining spinal adjustments with physical therapy to alleviate pain and enhance function. His clinic’s integrative approach, as described on https://dralexjimenez.com/, aims to slow degeneration and promote spinal health, keeping your spine as spry as Herman Munster wishes he could be!

References

Movement Medicine: Chiropractic Care- Video

Carpal Tunnel Syndrome: Clearing the Wrist Traffic Jam

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome (CTS) is akin to a traffic jam in your wrist, where the median nerve becomes compressed by swollen tissues, resulting in pain, numbness, and tingling. Affecting 3-6% of U.S. adults, it’s often triggered by repetitive hand movements, like typing or assembly work (Palmercare Chiropractic, 2021).

Symptoms of Carpal Tunnel Syndrome

Symptoms include:

  • Numbness or tingling in the thumb, index, and middle fingers
  • Wrist or hand pain, worse at night
  • Weakness, making it hard to grip objects
  • Burning or aching sensations

These can turn simple tasks, such as texting or holding a coffee mug, into a frustrating challenge.

Impact on Daily Life

CTS can make your hands feel like they’re on strike, disrupting work, hobbies, or even sleep. Dropping objects or struggling with fine motor tasks can lead to frustration and reduced productivity, especially for those in repetitive-motion jobs.

Chiropractic Treatment for Carpal Tunnel Syndrome

Chiropractors use wrist, elbow, and cervical spine adjustments to reduce nerve pressure, along with soft tissue therapies and exercises. Kansas City Chiropractic (2023) highlights that these non-invasive methods promote healing without the need for medications or surgery, addressing the root cause.

Clinical Evidence

A case study showed that chiropractic manipulation improved grip strength and normalized nerve function in a patient with CTS (Davis et al., 1994). While more research is needed, studies suggest chiropractic care can be a viable alternative to surgery for mild to moderate cases.

Dr. Jimenez’s Approach

Dr. Jimenez’s clinic offers specialized CTS treatments, including manual adjustments and therapeutic exercises, as noted on https://dralexjimenez.com/carpal-tunnel-pain-treatment/. His integrative approach ensures comprehensive care, helping your wrists move as smoothly as Herman Munster’s dance moves (well, almost!).

References

Achilles Tendonitis: Mending the Body’s Strongest Rope

What is Achilles Tendonitis?

Your Achilles tendon is like a sturdy rope connecting your calf muscles to your heel, but overuse can cause it to fray, leading to Achilles tendonitis. Common in runners and active individuals, it leads to pain and stiffness, especially after activity (Kenilworth Chiropractic, 2021). If untreated, it risks tendon rupture.

Symptoms of Achilles Tendonitis

Symptoms include:

  • Pain or stiffness in the lower leg or heel
  • Swelling around the tendon
  • Discomfort after running or standing
  • Reduced strength in the foot

These can make walking or exercising feel like trudging through a Munster family swamp.

Impact on Daily Life

Achilles tendonitis can hinder your daily routine, limiting activities such as sports, walking, or even climbing stairs. For athletes, it’s a major setback, potentially sidelining them from training or competition, while non-athletes may struggle with basic mobility.

Chiropractic Treatment for Achilles Tendonitis

Chiropractors use adjustments to the foot, ankle, and spine to correct misalignments, in conjunction with soft tissue therapies like Active Release Technique, to reduce inflammation. Stamford Spine (2024) notes that improving joint alignment and blood flow can speed healing and restore function.

Clinical Evidence

While specific studies on chiropractic for Achilles tendonitis are limited, related research on soft tissue therapies supports their use in reducing inflammation and improving mobility (Nolan Sport and Family Chiropractic, n.d.). Chiropractic’s holistic approach shows promise for managing this condition.

Dr. Jimenez’s Approach

Dr. Jimenez employs a comprehensive strategy, combining adjustments, soft tissue work, and lifestyle advice to treat Achilles tendonitis. His clinic’s focus on functional mobility, as seen on https://dralexjimenez.com/, helps patients return to activity without surgery, keeping their tendons as strong as Herman Munster’s handshake.

References

Personal Injury Cases: Chiropractic Care for Recovery

Understanding Personal Injury Cases

Personal injury cases, like car accidents or workplace mishaps, often result in musculoskeletal injuries such as whiplash, back pain, or soft tissue damage. These injuries can cause significant pain and disability, requiring comprehensive care to restore function and support legal claims.

How Chiropractic Care Helps

Chiropractic care is a cornerstone of personal injury recovery, providing non-invasive treatments to alleviate pain and enhance mobility. Adjustments, soft tissue therapies, and rehabilitation exercises target injuries like whiplash, which is common in auto accidents. Dr. Jimenez’s clinic specializes in these treatments, as noted on https://dralexjimenez.com/personal-injury-doctor/.

Dr. Jimenez’s Expertise in El Paso-

Dr. Alexander Jimenez is a leading figure in El Paso for personal injury care. With over 25 years of experience, his dual licensure as a chiropractor and nurse practitioner enables him to provide integrative care, combining spinal adjustments with advanced diagnostics, such as MRI and X-rays (A4M, n.d.). His clinic’s focus on conditions like sciatica, neck pain, and complex injuries ensures tailored treatment plans.

Advanced Diagnostics and Legal Support

Dr. Jimenez utilizes advanced imaging and diagnostic evaluations to accurately assess injuries, which is crucial for both treatment and legal documentation. His detailed medical reports support personal injury claims, acting as a liaison between patients and legal teams. This comprehensive approach, as highlighted on https://personalinjurydoctorgroup.com/, ensures patients receive both medical care and legal support.

Clinical Evidence

Studies support chiropractic care for personal injury recovery, particularly for whiplash and back pain. A review in Dynamic Chiropractic emphasizes chiropractic’s role in restoring function post-injury (Dynamic Chiropractic, n.d.). Dr. Jimenez’s integrative methods enhance these outcomes, offering hope for a full recovery.

References

Additional Insights: The Role of Related Research

Mitochondria and Osteoarthritis

While not directly listed among the five conditions, osteoarthritis relates to disk degeneration. Research suggests that mitochondrial dysfunction contributes to cartilage breakdown, and chiropractic care’s focus on reducing inflammation may indirectly support joint health (Natale et al., 2011).

Brain Plasticity and Spinal Cord Injuries

For severe spinal issues, brain plasticity plays a role in recovery. Chiropractic care may enhance neural adaptation by improving spinal function, which can potentially aid rehabilitation in complex cases (Haavik & Murphy, 2012).

References

Conclusion

Chiropractic care offers a promising, non-invasive approach to managing subluxation, scoliosis, disk degeneration, carpal tunnel syndrome, and Achilles tendonitis, helping patients regain mobility and reduce pain. Dr. Alexander Jimenez’s integrative practice in El Paso exemplifies this, combining chiropractic expertise with advanced diagnostics to support both musculoskeletal health and personal injury recovery. However, outcomes vary, and professional evaluation is crucial to ensure safe and effective treatment.

Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before starting any treatment, including chiropractic care, to ensure it’s appropriate for your condition.

Full References

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

Auto Injuries: Prevention Tips for The Cervical Spine

Cervical spine and auto injuries require attention. Explore causes, symptoms, and treatment options for effective recovery.

Oh, the automobile—a chariot of modern marvels, whisking us through the streets with the grace of a tango dancer! But, like a misstep in a passionate dance, a motor vehicle accident (MVA) can leave you with more than just a crumpled fender. Neck pain, that uninvited guest, can linger like a melodramatic villain, turning your daily waltz into a painful shuffle. Fear not, dear reader, for we’re about to embark on a journey through the clinical intricacies of cervical spinal pain, with a spotlight on the expertise of Dr. Alexander Jimenez, El Paso’s chiropractic maestro, who navigates this medical maze with the flair of Gomez Addams himself.

The Anatomy of a Neck in Distress

Let’s start with the star of our show: the cervical spine, or as we common folk call it, the neck. This elegant structure comprises seven vertebrae, labeled C1 through C7, each cushioned by intervertebral discs that act like shock absorbers in a luxury car. These discs feature a tough outer layer and a gel-like core, enabling your neck to twist, turn, and nod with the ease of a ballroom dancer. But when an MVA strikes, it’s like a rogue gust of wind disrupting a perfectly choreographed routine.

Picture this: you’re cruising along, humming to your favorite tune, when—bam!—a collision sends your head whipping forward and back like a yo-yo. This sudden motion, often referred to as whiplash, can stretch or tear ligaments, strain muscles, or even damage the delicate discs. The result? Pain, stiffness, and sometimes numbness that can radiate to your shoulders or arms. According to clinical guidelines, such trauma can lead to conditions like cervical radiculopathy (pinched nerves) or myelopathy (spinal cord compression), which sound as ominous as they feel (Cervical Spine Procedures).

But here’s the kicker: these injuries don’t always announce themselves with a dramatic entrance. You might walk away from the accident feeling like you’ve dodged a bullet, only to wake up the next morning with a neck that protests every move. It’s like discovering your dance partner has two left feet—after the music starts.

The Lingering Shadow of Neck Pain

Now, let’s talk numbers, because statistics are the cold, hard facts that keep our romantic notions in check. A study highlighted in a chiropractic blog found that 38% of MVA victims still experience neck pain three months after the accident, 22% at six months, and 18% a full year later. Even more sobering, over 5% may endure pain for a decade or more, and some face permanent disability. That’s not just a pain in the neck; it’s a life-altering plot twist.

Why does this pain linger like an unwelcome guest at a dinner party? The body is a complex drama queen. The initial injury can trigger inflammation, muscle spasms, and even psychological stress, all of which can turn an acute ache into a chronic saga. A study from the National Center for Biotechnology Information (NCBI) notes that neck pain following motor vehicle accidents (MVAs) is associated with a high rate of chronicity, with 50% of injured individuals still reporting pain a year later (Exposure to MVC and Neck Pain). This underscores the need for timely intervention to rewrite the script.

Chiropractic Care: The Unsung Hero

Enter the chiropractor, the dashing hero of this tale, ready to restore harmony with a flick of the wrist. Chiropractic care focuses on the musculoskeletal system, particularly the spine, using hands-on techniques to realign joints and relieve pain. It’s like tuning a grand piano before a performance—each adjustment brings the body back into harmony.

Dr. Alexander Jimenez, a chiropractic expert in El Paso, Texas, has over 30 years of experience helping MVA victims regain their balance. His practice combines chiropractic adjustments with functional medicine, addressing not just the injury but the whole person—nutrition, stress, and all aspects of their well-being. His credentials as a Doctor of Chiropractic and a board-certified Family Nurse Practitioner make him a unique ally in the fight against neck pain.

So, what’s the magic behind chiropractic care? It’s all about spinal manipulations—gentle, precise movements that correct misalignments (subluxations) caused by the accident. These adjustments can reduce pain, improve mobility, and kickstart the body’s natural healing process. A study published in the Journal of Manipulative and Physiological Therapeutics found that MVA patients typically require approximately 14 chiropractic treatments. However, those with headaches or low back pain may need more (Chiropractic Treatment for MVAs). The catch? Delaying treatment can dim the spotlight on recovery, so acting fast is key.

But it’s not just about adjustments. Dr. Jimenez might incorporate massage therapy to soothe tense muscles, physical therapy exercises to strengthen the neck, or even nutritional advice to reduce inflammation. It’s a holistic performance, ensuring every aspect of your health is in tune.

Personal Injury Cases: Where Medicine Meets Law

Now, let’s dim the lights and shift to the legal stage, where personal injury cases take center stage. If you’re injured in an MVA due to someone else’s negligence, you may be entitled to compensation for medical bills, lost wages, and pain and suffering. But here’s the plot twist: proving your injuries requires more than a dramatic monologue about your pain. You need solid evidence, and that’s where Dr. Jimenez shines.

With his dual expertise, Dr. Jimenez doesn’t just treat your injuries; he documents them with the precision of a courtroom scribe. His detailed medical reports, backed by advanced imaging like MRIs or CT scans, link your neck pain directly to the accident. This documentation is crucial for personal injury cases, as it provides the evidence needed to convince insurance companies or courts of your claim’s validity.

In El Paso, Dr. Jimenez is a trusted figure for MVA victims, acting as a liaison between medical treatment and legal proceedings. His ability to perform dual-scope procedures—combining chiropractic care with clinical evaluations—ensures that every injury is thoroughly assessed and recorded. It’s like having a director who knows both the script and the stage, ensuring your case is a blockbuster, not a flop.

The Power of Advanced Imaging

Speaking of evidence, let’s shine a spotlight on advanced imaging, the unsung hero of accurate diagnosis. Magnetic Resonance Imaging (MRI) is like a high-definition camera, revealing soft tissue damage such as herniated discs or ligament tears. Computed Tomography (CT) scans excel at detecting fractures and bone abnormalities, while X-rays show misalignments or breaks but may miss subtler injuries.

Dr. Jimenez leverages these tools to get a clear picture of your cervical spine’s condition. For example, an MRI may reveal a herniated disc pressing on a nerve, which can explain your radiating pain. These findings guide treatment and serve as undeniable proof in legal cases, ensuring your injuries are taken seriously. The clinical guidelines emphasize that procedures like cervical discectomy or fusion are indicated only when imaging confirms significant pathology, such as spinal cord compression (Cervical Spine Procedures).

Treatment Options: A Symphony of Solutions

So, how do we banish this neck pain villain? The treatment options are as varied as the characters in an Addams Family reunion. Here’s a rundown:

TreatmentDescriptionBenefits
Chiropractic AdjustmentsGentle manipulations to realign the spine and reduce joint restrictions.Alternative pain relief, with minimal side effects.
Physical TherapyExercises to strengthen neck muscles and improve range of motion.Enhances recovery, prevents future injuries.
Massage TherapyTechniques to relieve muscle tension and improve circulation.Reduces stiffness, promotes relaxation.
AcupunctureInsertion of fine needles to stimulate healing and reduce pain.Provides quick symptom relief, but is not a long-term solution.
MedicationsNSAIDs or muscle relaxants for pain and inflammation (used sparingly).Addresses structural damage, but is invasive with a longer recovery.
InjectionsEpidural steroid injections for severe pain or nerve irritation.Targeted pain relief for significant symptoms.
SurgeryProcedures like discectomy or fusion for severe cases (e.g., spinal cord compression).Procedures like discectomy or fusion are used for severe cases (e.g., spinal cord compression).

Dr. Jimenez emphasizes non-invasive options first, reserving surgery for cases where conservative treatments fail after six weeks of physical therapy, as per clinical guidelines. Early intervention is the key to a standing ovation—studies show that prompt care can prevent chronic pain and long-term disability (Chiropractic Neck Pain Relief).

Success Stories: The Encore

While specific patient stories are private, the chiropractic community is full of tales of triumph. Imagine a patient who, after a rear-end collision, could barely turn their head without wincing. After a series of adjustments and therapy sessions with Dr. Jimenez, they’re back to dancing through life, pain-free and full of zest. Such stories, although anecdotal, highlight the transformative power of chiropractic care for neck pain related to motor vehicle accidents (MVAs).

Conclusion: Take Your Neck Seriously

As we draw the curtain on this tale, let’s shed the theatrical flair for a moment of sincerity. Cervical spinal pain from motor vehicle accidents is a serious matter, capable of turning your life’s joyful dance into a painful slog. However, with expert care from practitioners like Dr. Alexander Jimenez, there is hope for a grand finale. His holistic approach, backed by advanced diagnostics and a knack for legal documentation, offers a path to recovery and justice.

If you’re grappling with neck pain after an MVA, don’t wait in the wings. Seek professional help, and let the healing begin. Your neck deserves its moment in the spotlight.

Disclaimer

This guide is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions about your medical condition.

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

Spine and Back Pain: Recovery Tips After A Car Accident

Get informed about spine and back pain car accident challenges and what you can do to alleviate discomfort and promote healing.

Introduction

Car accidents, even those considered minor, can result in significant trauma to the spine, back, and extremities, leading to acute or chronic pain that disrupts daily life. Healthcare providers with a dual-licensed chiropractor and nurse practitioner with over three decades of experience are at the forefront of addressing these injuries. Operating through their practices, doctors combine the non-invasive, holistic principles of chiropractic care with a nurse practitioner’s advanced diagnostic and therapeutic capabilities to offer unparalleled treatment for auto accident victims. His integrative approach, rooted in evidence-based practices, emphasizes restoring function, alleviating pain, and promoting long-term wellness.

This article explores the causes and symptoms of spine and back pain following car accidents, the unique benefits of chiropractic care, and the expanded treatment options. We also highlight collaboration with trusted medical and legal providers to ensure comprehensive care for personal injury cases, supported by high-quality randomized controlled trials (RCTs) and cohort studies.

Causes of Spine and Back Pain After Auto Accidents

The spine and back are highly susceptible to injury during a car accident due to the rapid and forceful movements involved. These forces—acceleration, deceleration, and torsion—can strain or damage various anatomical structures. Common causes of pain include:

  1. Whiplash and Soft Tissue Injuries: Whiplash, prevalent in rear-end collisions, occurs when the head and neck are violently thrust forward and backward, straining or tearing muscles, ligaments, and tendons in the cervical and upper thoracic regions. A 2016 cohort study found that whiplash-associated disorders (WAD) affect up to 70% of rear-end collision victims, with symptoms persisting for months in severe cases (Sterling et al., 2016).
  2. Herniated Discs: The impact of a collision can compress intervertebral discs, causing them to bulge or rupture. This may irritate or compress adjacent spinal nerves, leading to radicular pain, numbness, or weakness in the extremities. A 2019 RCT demonstrated that disc herniations are a common sequela of motor vehicle accidents, often requiring targeted interventions (Ge et al., 2019).
  3. Spinal Misalignment: Sudden jolts can disrupt the spine’s natural alignment, leading to vertebral subluxations that cause muscle spasms, restricted mobility, and pain. Misalignments can also contribute to compensatory postures, exacerbating discomfort (Choi et al., 2015).
  4. Fractures or Dislocations: Severe collisions may fracture or dislocate vertebrae, resulting in intense pain and potential neurological deficits. A 2017 cohort study reported that spinal fractures occur in approximately 5% of high-impact accidents, significantly impacting quality of life (Fakharian et al., 2017).
  5. Facet Joint Injuries: The facet joints, which stabilize the spine, can become sprained or inflamed, contributing to localized or referred pain. These injuries are often underdiagnosed but can be effectively managed with chiropractic care (American Chiropractic Association, 2022).

Symptoms of Spine and Back Pain Post-Accident

Symptoms of spine and back injuries vary based on the injury’s severity and location, but often include:

  • Localized or Radiating Pain: Pain may be confined to the neck, upper back, or lower back or radiate to the arms, legs, or buttocks, indicating nerve involvement.
  • Stiffness: Reduced range of motion in the cervical or lumbar spine, limiting activities like turning or bending.
  • Muscle Spasms: Involuntary contractions causing discomfort or sharp pain.
  • Numbness or Tingling: Sensations in the extremities, suggesting nerve compression or irritation.
  • Headaches: Often linked to whiplash or cervical strain, these may persist and interfere with daily tasks.
  • Fatigue or Weakness: Pain and inflammation can lead to reduced energy and muscle strength, impacting functionality.

Delayed symptom onset is common, with discomfort emerging hours or days post-accident. A 2018 RCT emphasized the importance of early evaluation, as untreated injuries can lead to chronic pain syndromes (Bryans et al., 2018). Many doctors stress the need for immediate assessment to prevent long-term complications, aligning with the proactive care philosophy.

The Role of Chiropractic Care in Auto Accident Recovery

Chiropractic care is a cornerstone, offering non-invasive, evidence-based solutions for auto accident injuries. Chiropractors emphasize restoring spinal alignment, reducing pain, and enhancing mobility through targeted interventions. Key benefits of chiropractic care include:

  1. Spinal Adjustments: Using precise, manual techniques, chiropractors correct vertebral subluxations, relieving nerve pressure and restoring joint function. A 2015 RCT found that spinal manipulative therapy (SMT) significantly reduces pain and improves mobility in whiplash patients (Choi et al., 2015).
  2. Soft Tissue Therapy: Techniques like myofascial release and trigger point therapy address muscle tension, spasms, and scar tissue, promoting healing in strained ligaments and tendons. These therapies align with the holistic approach.
  3. Pain Management: Chiropractic care minimizes reliance on pharmaceuticals, which may carry risks of dependency or side effects. Adjustments target the root cause of pain, offering sustainable relief (Bryans et al., 2018).
  4. Rehabilitation Support: Chiropractors design individualized exercise programs to strengthen core and paraspinal muscles, improve posture, and prevent re-injury. A 2019 RCT highlighted the efficacy of exercise-based rehabilitation in reducing chronic low back pain post-accident (Alrwaily et al., 2019).
  5. Holistic Wellness: Chiropractic care addresses lifestyle factors—stress, ergonomics, and nutrition—that impact recovery, reflecting their integrative philosophy.

Chiropractic care is particularly effective for whiplash and facet joint injuries. A 2014 RCT demonstrated that patients receiving chiropractic adjustments for acute neck pain experienced faster pain relief and functional recovery than those under standard medical care (Bryans et al., 2014).

Expanded Scope of Practice: Nurse Practitioner Expertise

A board-certified Family Nurse Practitioner (FNP-BS) offers an expanded scope of practice that complements their chiropractic expertise, making them uniquely qualified to manage complex auto accident injuries. The dual licensure allows for a broader range of diagnostic and therapeutic interventions, enhancing patient outcomes in personal injury cases. Key benefits include:

  1. Advanced Diagnostics: Nurse practitioners can order and interpret diagnostic imaging (X-rays, MRIs, CT scans) and laboratory tests to assess fractures, disc herniations, or soft tissue damage. This ensures precise diagnosis and tailored treatment plans.
  2. Medication Management: When necessary, a nurse practitioner can prescribe medications for short-term pain relief or inflammation control, integrating pharmacological and non-pharmacological approaches. A 2020 cohort study underscored the benefits of combining medication with manual therapies for acute pain management (Busse et al., 2020).
  3. Injections and Minor Procedures: A nurse practitioner can perform trigger point injections or corticosteroid injections to alleviate severe pain or inflammation, particularly in nerve irritation or joint dysfunction cases. A 2017 RCT showing significant pain reduction in patients with facet joint injuries supports these interventions (Manchikanti et al., 2017).
  4. Comprehensive Care Coordination: Dr. Jimenez’s nurse practitioner training enables him to collaborate seamlessly with medical specialists, ensuring patients receive holistic care for complex injuries like spinal fractures or neurological deficits.

This integrative approach, detailed on www.chiromed.com, bridges the gap between chiropractic and medical care, offering patients a one-stop solution for auto accident recovery.

From Injury to Recovery with Chiropractic Care- Video

Interdisciplinary Treatments for Auto Accident Trauma

Dr. Jimenez’s dual expertise enables a multidisciplinary approach to auto accident injuries, combining chiropractic and nurse practitioner interventions with complementary therapies. Common treatments include:

  1. Chiropractic Adjustments and Mobilization: To restore spinal alignment and relieve nerve compression, supported by RCTs demonstrating efficacy in whiplash and low back pain (Choi et al., 2015; Bryans et al., 2014).
  2. Physical Therapy Integration: Dr. Jimenez collaborates with physical therapists to design rehabilitation programs that restore strength, flexibility, and coordination. A 2019 RCT found that combined chiropractic and physical therapy significantly reduced disability in post-accident patients (Alrwaily et al., 2019).
  3. Therapeutic Modalities: Ultrasound, electrical stimulation, and cold laser therapy reduce inflammation and promote tissue healing, aligning with the integrative care model on www.chiromed.com.
  4. Pain Management Strategies: Cohort studies support the combination of spinal adjustments, soft tissue therapy, and judicious use of medications or injections to address both acute and chronic pain (Busse et al., 2020).
  5. Lifestyle and Ergonomic Counseling: Dr. Jimenez, reflecting his holistic philosophy, provides guidance on posture, workplace ergonomics, and stress management to prevent re-injury.

This interdisciplinary approach ensures patients receive comprehensive care tailored to their unique needs, maximizing recovery potential.

Collaboration with Trusted Medical and Legal Providers

Dr. Jimenez’s practice is distinguished by its strong network of trusted medical and legal providers, ensuring seamless care for auto accident victims. His collaboration with medical specialists—orthopedists, neurologists, and pain management experts—facilitates timely referrals for complex cases, such as spinal fractures or severe disc herniations. This coordinated care model is rooted in the integrative principles of www.chiromed.com.

Legal assistance is often critical in personal injury cases to secure compensation for medical expenses, lost wages, and pain and suffering. Dr. Jimenez works closely with reputable legal providers specializing in auto accident and personal injury law. These trusted attorneys help patients navigate insurance claims, negotiate settlements, and pursue litigation when necessary. By partnering with legal experts, Dr. Jimenez ensures that his patients’ clinical needs are documented accurately and communicated effectively to support their legal cases. This collaboration alleviates patients’ financial and emotional burden, allowing them to focus on recovery.

For example, Dr. Jimenez provides detailed medical reports and expert testimony when required, leveraging his dual expertise to articulate the extent of injuries and their impact on patients’ lives. This interdisciplinary partnership is a hallmark of his practice, as outlined on www.dralexjimenz.com.

When to Seek Care

Prompt evaluation after a car accident is critical, even if symptoms are mild or delayed. Untreated injuries can lead to chronic pain, reduced mobility, and overlapping health complications. Dr. Jimenez recommends immediate consultation with a chiropractor or nurse practitioner to assess spinal alignment, diagnose soft tissue or neurological damage, and initiate a personalized treatment plan. His dual licensure ensures patients receive a thorough musculoskeletal evaluation and advanced medical diagnostics, optimizing outcomes.

Conclusion

Spine and back pain following a car accident can profoundly impact quality of life, but early intervention by a skilled provider like Dr. Alexander Jimenez can make a significant difference. With 30 years of experience as a chiropractor and nurse practitioner, Dr. Jimenez offers a unique blend of non-invasive chiropractic care and advanced medical interventions, tailored to the needs of auto accident victims. His interdisciplinary approach, supported by collaborations with trusted medical and legal providers, ensures comprehensive care that addresses both clinical and legal challenges in personal injury cases.

Through his practices at www.dralexjimenz.com and www.chiromed.com, Dr. Jimenez champions integrative medicine, combining evidence-based treatments like spinal adjustments, soft tissue therapy, and medication management to restore function and alleviate pain. Supported by high-quality RCTs and cohort studies, his methods offer a safe, effective path to recovery, empowering patients to reclaim their health and well-being.

Injury Medical Chiropractic & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their spines and backs. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer

References

Sterling, M., et al. (2016). The course of recovery from whiplash-associated disorders: A cohort study. Pain, 157(8), 1747-1755. https://doi.org/10.1097/j.pain.0000000000000577

Alrwaily, M., et al. (2019). Effectiveness of physical therapy combined with spinal manipulation for chronic low back pain: A randomized controlled trial. Spine, 44(14), 1013-1022. https://doi.org/10.1097/BRS.0000000000003001

American Chiropractic Association. (2022). Benefits of Chiropractic Care. Retrieved from https://www.acatoday.org/patients/why-choose-chiropractic/

Bryans, R., et al. (2014). Evidence-based guidelines for the chiropractic treatment of adults with neck pain. Journal of Manipulative and Physiological Therapeutics, 37(1), 42-63. https://doi.org/10.1016/j.jmpt.2013.08.010

Bryans, R., et al. (2018). Chiropractic treatment of acute neck pain: A randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 41(2), 97-108. https://doi.org/10.1016/j.jmpt.2017.09.002

Busse, J. W., et al. (2020). Management of acute pain from musculoskeletal injuries: A cohort study. CMAJ, 192(33), E937-E944. https://doi.org/10.1503/cmaj.190949

Choi, J., et al. (2015). Spinal manipulative therapy for whiplash-associated disorders: A randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy, 45(8), 601-610. https://doi.org/10.2519/jospt.2015.5706

Fakharian, E., et al. (2017). Epidemiology of spinal cord injuries due to motor vehicle accidents: A cohort study. Asian Spine Journal, 11(4), 567-573. https://doi.org/10.4184/asj.2017.11.4.567

Ge, L., et al. (2019). Prevalence of disc herniation in motor vehicle accident victims: A randomized controlled trial. European Spine Journal, 28(5), 1123-1130. https://doi.org/10.1007/s00586-019-05923-7

Manchikanti, L., et al. (2017). Efficacy of facet joint injections for low back pain: A randomized controlled trial. Pain Physician, 20(4), E487-E498.

Disclaimer

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

Center of Gravity Explained: A Comprehensive Guide

What is the body’s center of gravity to understand and maintain a healthy posture and balance?

Center of Gravity

The human center of gravity, or COG, also known as the center of mass, with the two terms being interchangeable, is where the body’s weight appears to be concentrated. It’s a point in space where the entire body’s mass can be concentrated. When standing upright, the COG is generally located behind the navel and in front of the sacrum, around the level of the second vertebra. (Le Huec, J. 2011) The center of gravity is related to posture, including issues such as swayback, the design of posture exercise programs, and much more.

  • Gravity is a downward pull or force the Earth exerts on the body, creating weight. (NASA, 2013)
  • The center of gravity (COG) is where a body’s weight is equally balanced in all directions. (Physiopedia, 2025)
  • When the COG is defined, it is done from the reference of a static, standing position.
  • Because the body is in motion when we change positions, the COG is located in a new position with each new position.
  • The center of gravity is the point around which all the parts balance, which may be inside or outside the body.
  • Even slight changes in position can change where the COG is. (Physiopedia, 2025)

Key aspects of the COG

Location

  • When standing upright, the COG is typically found at the second vertebral level, behind the navel and in front of the sacrum. (Le Huec, J. 2011)

Shifting COG

  • The COG can shift depending on body position, posture, and movements like bending forward or backward. (Physiopedia, 2025)

Balance Impact 

  • The relationship between the COG and the base of support (the area of the body in contact with the ground) is fundamental to maintaining balance.

Variations

  • There can be variations in the COG location based on factors like gender (men tend to have a slightly higher COG), body shape, and even conditions like obesity or chronic low back pain. (Physiopedia, 2025)

Biomechanics

  • Understanding the COG is crucial in biomechanics and movement analysis, as it’s an index of total body motion and how the body responds to external forces.

The Human Center

The center of gravity is the point at which the body’s mass is equally balanced. This point changes depending on one’s position:

  • Arms up/down
  • Leaning
  • Turning

With strength and flexibility training, the human body can change its center of gravity, as gymnasts and dancers do.

  • When standing, the center of gravity is normally located behind the navel and in front of the sacrum bone (made up of five vertebrae fused vertically) at about the second vertebra level. (Hasegawa K. et al., 2022)
  • Because the body has moving parts, its overall shape changes every time it moves. Carrying something like a suitcase or grocery bag or wearing a backpack adds weight to some areas but not others, changing the center of gravity as it does.
  • The center of gravity is a continually changing point inside or outside the body that represents where the weight or mass of the rest of the body is equally balanced in every direction.
  • This point can and does change based on what is being carried and how it is carried, as well as body position and movements.

Chronic Lower Back Pain

  • A study in the Journal of Back and Musculoskeletal Rehabilitation found that individuals with chronic lower back pain tend to have their center of gravity located excessively towards the back. (Kim D. H., Park J. K., & Jeong M. K. 2014)
  • In the study, the individuals had decreased low back strength upon extension and a reduced normal low back curve.
  • The researchers found that those with chronic lower back pain whose center of gravity was too far back may need physical therapy to retrain the body to overcome strength and balance challenges to re-establish and maintain a healthy posture.

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.

Enhance Your Lifestyle Today with Chiropractic Care

References

Le Huec, J. C., Saddiki, R., Franke, J., Rigal, J., & Aunoble, S. (2011). Equilibrium of the human body and the gravity line: the basics. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20 Suppl 5(Suppl 5), 558–563. https://doi.org/10.1007/s00586-011-1939-7

NASA. Jet Propulsion Laboratory, California Institute of Technology. (2013). What is gravity? Retrieved from https://gracefo.jpl.nasa.gov/news/5/what-is-gravity/

Physiopedia. (2025). Centre of gravity. https://www.physio-pedia.com/Centre_of_Gravity

Hasegawa, K., Amabile, C., Nesme, M., & Dubousset, J. (2022). Gravity center estimation for evaluation of standing whole body compensation using virtual barycentremetry based on biplanar slot-scanning stereoradiography – validation by simultaneous force plate measurement. BMC musculoskeletal disorders, 23(1), 22. https://doi.org/10.1186/s12891-021-04948-5

Kim, D. H., Park, J. K., & Jeong, M. K. (2014). Influences of posterior-located center of gravity on lumbar extension strength, balance, and lumbar lordosis in chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation, 27(2), 231–237. https://doi.org/10.3233/BMR-130442

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

Pseudoarthrosis After Spinal Fusion Surgery Explained

What is pseudoarthrosis of the cervical and lumbar spine?

Pseudoarthrosis of the cervical and lumbar spine

Individuals may need a spinal fusion to treat a fractured vertebra, scoliosis, or conditions like spinal stenosis, degenerative disc disease, and spondylolisthesis/slipped vertebrae. A spinal fusion reduces pain and stabilizes the spine by limiting movement between vertebrae. Pseudoarthrosis happens when the bones don’t heal after a fracture or bone surgery. When pseudoarthrosis affects the cervical or lumbar spine, it means that two vertebrae did not heal and grow together after spinal surgery to fuse them (spinal fusion). Reasons for a failed spinal fusion include:

  • Issues with the instruments used to stabilize the bone
  • Lack of bone growth
  • The number of vertebrae being fused.

The patient’s health and lifestyle play a role in failed fusions, which can include

  • Diabetes
  • Inflammatory health conditions increase the risk
  • Smoking
  • Long-term steroid use

In many cases, revision surgery is needed.

Surgery-Related

During a spinal fusion, surgeons insert a bone graft between two vertebrae and then apply spinal fixation hardware (instrumented spinal fusion) that includes:

  • Plates
  • Rods
  • Screws
  1. The bone graft promotes growth between the two bones.
  2. The hardware stabilizes the vertebrae and prevents movement while they fuse and grow together.
  3. The hardware goes inside, or internal fixation.
  4. Although rare, a severe spinal fracture or deformity may need external fixation.
  5. A rigid frame secured outside the body helps to stabilize the bones.

If the fusion fails, it could be caused by one or more of the following surgical issues:

Number of Vertebrae Being Fused

Hardware

  • The surgeon must carefully plan and use the right hardware.
  • The type of hardware used during a spinal fusion may influence bone healing.
  • The instruments can come loose or break, interfering with the fusion process.
  • Spinal osteoporosis, having thin, weak bones, can affect fixation.
  • Even with the optimal surgical preparedness, weak bones significantly increase the chance of the instruments loosening and pseudoarthrosis developing.

Bone Graft

  • The type of bone graft used may affect the fusion.
  • For example, in cervical/neck spinal fusions, an autograft, which uses a small piece of bone from the patient’s body, has a higher success rate. (Verla T. et al., 2021)
  • Other graft options include specialized steel cages that fit between vertebrae and contain bone growth factors.
  • The surgeon recommends the optimal bone graft for the type of surgery, the number of vertebrae involved, and risk factors.

Risk Factors

  • The patient’s overall health and lifestyle impact the results of spinal fusion. Smoking increases the risk. (Berman D. et al., 2017)
  • Nicotine restricts blood circulation, decreases bone density, reduces new bone formation, and delays bone healing. (Hernigou J., & Schuind F., 2019)

The risk of pseudoarthrosis increases if the individual has any of the following: (Scoliosis Research Society, 2023)

  • Previous pseudoarthrosis
  • Obesity
  • Chronic steroid use
  • Malnutrition
  • Inflammatory diseases

Inflammatory conditions that can lead to bone loss and non-optimal bone healing include: (Torres H. M. et al., 2023)

  • Diabetes (Jiao H, Xiao E, & Graves DT, 2015)
  • Inflammatory bowel disease
  • Psoriasis
  • Rheumatoid arthritis
  • Chronic obstructive pulmonary disease/COPD
  • Periodontitis
  • Systemic lupus erythematosus/SLE

Symptoms

  • The primary sign of pseudoarthrosis is pain in the same area as before the fusion surgery.
  • If the bones pinch a spinal nerve, one arm may experience pain, tingling, burning, or numbness.
  • Rarely does a pinched nerve affect both arms.
  • The pain may return shortly after the procedure.
  • The pain may develop gradually or not appear for many months.
  • However, it’s more likely to appear after several months when the individual returns to their usual activities.

Diagnosis

  • The healthcare provider will learn about symptoms and perform a physical exam to evaluate the back.
  • They’ll assess mobility and the type of movement that causes pain.
  • Then, they order diagnostic imaging to see the spine and identify the cause of pain.
  • Individuals may need a CT scan, MRI, and/or X-rays to evaluate the spinal structures and instrumentation fully.

Treatment

Treatment for pseudoarthrosis will likely start with:

  • Physical therapy
  • Pain management – especially in cases where it is important to rule out other sources of back or neck pain.
  • Medication
  • Injections
  • If symptoms don’t improve with conservative care or if there is severe pain, the healthcare provider may recommend revision surgery.
  • Revision surgery is another procedure to treat complications or correct issues that arise after the initial pseudoarthrosis surgery.

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.

Enhancing Health Together

References

Boonsirikamchai, W., Wilartratsami, S., Ruangchainikom, M., Korwutthikulrangsri, E., Tongsai, S., & Luksanapruksa, P. (2024). Pseudarthrosis risk factors in lumbar fusion: a systematic review and meta-analysis. BMC musculoskeletal disorders, 25(1), 433. https://doi.org/10.1186/s12891-024-07531-w

Verla, T., Xu, D. S., Davis, M. J., Reece, E. M., Kelly, M., Nunez, M., Winocour, S. J., & Ropper, A. E. (2021). Failure in Cervical Spinal Fusion and Current Management Modalities. Seminars in plastic surgery, 35(1), 10–13. https://doi.org/10.1055/s-0041-1722853

Berman, D., Oren, J. H., Bendo, J., & Spivak, J. (2017). The Effect of Smoking on Spinal Fusion. International journal of spine surgery, 11(4), 29. https://doi.org/10.14444/4029

Hernigou, J., & Schuind, F. (2019). Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know. Bone & joint research, 8(6), 255–265. https://doi.org/10.1302/2046-3758.86.BJR-2018-0344.R1

Scoliosis Research Society. (2023). Pseudoarthrosis. https://www.srs.org/Patients/Conditions/Pseudoarthrosis

Torres, H. M., Arnold, K. M., Oviedo, M., Westendorf, J. J., & Weaver, S. R. (2023). Inflammatory Processes Affecting Bone Health and Repair. Current osteoporosis reports, 21(6), 842–853. https://doi.org/10.1007/s11914-023-00824-4

Jiao, H., Xiao, E., & Graves, D. T. (2015). Diabetes and Its Effect on Bone and Fracture Healing. Current osteoporosis reports, 13(5), 327–335. https://doi.org/10.1007/s11914-015-0286-8

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

Supine Position Explained: Benefits and Uses

For individuals experiencing back pain, can lying in the supine position help bring relief?

Supine Position

The supine position describes the body’s position when lying on your back with your face up. The individual is flat on their back with no incline, arms at their sides or bent at a 90-degree angle. It’s commonly used in medical settings for examinations, surgeries, and procedures, particularly when access to the anterior/front of the body is needed. It can benefit certain conditions, like helping relieve pain, but exacerbate others, like acid reflux. The term is also used as a modifier for exercises and stretches that begin with the individual on their back. (ScienceDirect Topics, 2009)

Medical Uses

Examinations

  • Healthcare providers often use the supine position for physical examinations, including vital signs, palpation of the abdomen, and chest inspection. (Nurse.com, 2024)

Procedures

Surgery

  • Due to its accessibility to the front of the body, the supine position is frequently used for surgeries such as cardiac, abdominal, thoracic, and cranial procedures. 
  • It allows for easy access to the airway, facilitates anesthesia choices, and can be readily converted to an open procedure if necessary. ScienceDirect Topics, 2009)

Overall Health

Natural Position

  • Many individuals naturally fall asleep in the supine position, finding it comfortable and conducive to spinal alignment.

Back Pain Relief

  • Sometimes, lying supine with proper support can relieve back pain, particularly in individuals with lumbar spinal issues. (MedicalNewsToday, 2022)

Acid Reflux

  • However, the supine position can exacerbate acid reflux, as gravity allows stomach acid to travel up the esophagus. (MedicalNewsToday, 2022)

Sleep Apnea

  • The supine position can worsen sleep apnea in some individuals.

Clinical Uses

  • A physical therapist, trainer, or clinician may use supine to describe positions used for manual therapy or when having the patient do stretching and back exercises as part of a home exercise program.
  • If the therapist or personal trainer is training the individual on core stabilization exercises for the first time, the individual will most likely start in the supine position.
  • This is because when the body is supine, the muscles have the least work to do to maintain correct posture and position against the force of gravity.
  • Many bed exercises begin in this position for rehabilitation.

Back Care

Here are a few recommendations to relieve low back pain using the supine position.

  • First, individuals can release the tension in the back by assuming the hook-lying position, a modification of the supine position in which the knees are bent and the feet are resting flat on the floor (Aurora BayCare Medical Center, N.D.).
  • Start breathing and relaxing, allowing the tension to drain out of the muscles.
  • In a hook-lying position with the fingertips on the lower belly, inhale deeply, then exhale naturally and puff out the remaining air.
  • At that point, the fingertips should feel the transverse abdominal muscle engage.
  • Release and repeat 10 times.

After the body is warmed up, move on to actual exercise. For example, beginners may be given hip stretches to help relieve back pain. These might be done to maintain or prevent back pain. Individuals can do yoga for their back while in the supine position. As with any exercise program, not all yoga poses involve lying on the back, but many beginners and restorative ones do.

For example, the supine spinal twist involves lying on the back, bending the knees, and gently placing them to one side. The idea is to stay in that position for a few moments—and breathe—to allow the oblique abdominal and back muscles to release.

Variations

Lawn Chair Position

  • This variation involves slightly bending the hips and knees and elevating them above the heart, which can help relieve lower back pain.

Frog-Leg Position

  • The frog-leg position involves lying on the back with bent knees pushed out to the sides, providing access to the groin and perineum. (Steris Healthcare, 2025)

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.

Thoracic Spine Pain

References

ScienceDirect. (2009). Supine Position. Morrey’s The Elbow and Its Disorders (Fourth Edition), 567-577. https://doi.org/https://doi.org/10.1016/B978-1-4160-2902-1.50042-5

Nurse.com. (2024). What Is Supine Position? https://www.nurse.com/nursing-resources/definitions/what-is-supine-position/#:~:text=During%20routine%20physical%20examinations%2C%20the,easier%20to%20perform%20comprehensive%20assessments.

STERIS. (2025). The Complete Guide to Patient Positioning. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/complete-guide-to-patient-positioning#:~:text=The%20most%20common%20position%20used,and%20elevating%20the%20sternal%20notch.

MedicalNewsToday. (2022). What is the supine position? https://www.medicalnewstoday.com/articles/supine-position

Aurora BayCare Medical Center. (N.D.). Lumbar stabilization hooklying position. https://ahc.aurorahealthcare.org/fywb/baycare/x06913bc.pdf

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

Postural Assessment for Optimal Movement Efficiency

Can postural assessments help identify problems with how a person stands or sits, which can lead to various musculoskeletal issues?

Postural Assessment

Proper posture is an exercise in which the muscles support the skeleton in a comfortable, stable, and efficient alignment. Healthy posture is present when the body is still and when moving. However, numerous factors can affect and hinder posture. These include daily wear and tear, injury, illness, or a condition. A posture assessment is a process that identifies posture issues and their root causes, often using visual and palpation techniques, and can help determine appropriate treatment or exercises. (Science Direct, 2007)

Visual Assessment

  • Observing the body’s alignment and symmetry from different angles (anterior, posterior, and lateral views).

Palpation

Movement Analysis

  • Assessing how a person moves and if there are any limitations or compensations. (Physiopedia, 2025)

Importance and Benefits

Early Identification

  • Helps identify potential problems early, before they become more serious.

Targeted Treatment

  • Allows for the development of personalized treatment plans to address specific postural issues.

Injury Prevention

  • It can help prevent injuries by addressing underlying postural imbalances.

Postural Assessment Tools

Some tools used include:

Basic Assessment

Stand Upright

  • The patient stands with their feet shoulder-width apart, arms relaxed at their sides, and looks straight ahead. (Science Direct, 2007)

Alignment Observation

  • Head: Is the head aligned over the shoulders, forward, or tilted?
  • Shoulders: Are the shoulders level, or are they rounded forward?
  • Back: Is the back straight, or is there excessive curvature (kyphosis or lordosis)?
  • Pelvis: Is the pelvis level or tilted forward or backward?
  • Knees: Are the knees straight or slightly bent?
  • Feet: Are the feet flat on the ground, or is there excessive arch or pronation?

Palpate for Muscle Imbalances

Consider the Patient’s Activity Level and History

Wall Test

  • The patient stands against a wall with their feet shoulder-width apart and heels about 6 inches from the baseboard.
  • If they have good posture, their ears will be vertically aligned with their shoulders, and their head will be no more than three finger widths from the wall. (Physiopedia, 2025)

Postural Issues Examples

Rounded Shoulders (Hyperkyphosis)

  • Forward rounding of the upper back.

Forward Head Posture

  • Head positioned too far forward.

Lordosis

  • Excessive inward curve of the lower back.

Flat Back

  • Reduced natural curve of the lower back.

Muscle Imbalances

Professionals Who Can Perform a Posture Assessment

Physiotherapists

  • Professionals trained in assessing and treating musculoskeletal problems.

Chiropractors

  • Professionals who focus on the spine and nervous system.

Fitness Professionals

  • Personal trainers or other fitness professionals can use posture assessments to help clients improve their posture and movement.

Ergonomists

  • Professionals who specialize in designing workspaces and environments to promote good posture and reduce strain.

Injury Medical Chiropractic & Functional Medicine Clinic

Talk to a healthcare provider to learn what interventions would help the most. 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.

Multidisciplinary Evaluation and Treatment

References

ScienceDirect. (2007). Postural Assessment – an Overview. Evidence-Based Manual Medicine, 2007. https://www.sciencedirect.com/topics/medicine-and-dentistry/postural-assessment#recommended-publications

Singla, D., & Veqar, Z. (2014). Methods of postural assessment used for sports persons. Journal of clinical and diagnostic research: JCDR, 8(4), LE01–LE4. https://doi.org/10.7860/JCDR/2014/6836.4266

Du, S. H., Zhang, Y. H., Yang, Q. H., Wang, Y. C., Fang, Y., & Wang, X. Q. (2023). Spinal posture assessment and low back pain. EFORT open reviews, 8(9), 708–718. https://doi.org/10.1530/EOR-23-0025

Physiopedia. (2025). Sports Screening: Postural Assessment. https://www.physio-pedia.com/Sports_Screening:_Postural_Assessment#:~:text=Postural%20assessment%20as%20part%20of,tone%20can%20cause%20postural%20faults.

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 , , , , , , , , , , , , , , , , , , ,

Back Cracking: Can It Relieve Your Back Pain?

Are there benefits to back cracking, risks, and how can it be done safely?

Back Cracking

Back cracking is intentionally applying pressure or twisting movements, producing a popping or cracking sound in the spine. Back cracking involves stretching or extending the spine. In most cases, it is considered safe when done gently as it can provide temporary relief from back pain and stiffness by:

  • Stretching the ligaments and muscles around the spine
  • Releasing gas bubbles that may be causing pressure
  • Improving joint mobility

Mechanism of Action

  • Cracking your back creates small gas bubbles in the synovial fluid (the lubricating fluid in the joints).
  • These bubbles form when the pressure in the joints is suddenly released, causing a popping or cracking sound.

It is generally safe, but there are certain conditions under which individuals should avoid cracking their backs.

Popping Sound

Research has used a new type of magnetic resonance imaging (MRI), cine MRI, to study the noise source. Cine MRI produces moving images.

  • This study using this MRI found that the formation of bubbles makes a popping sound.
  • The popping sound does not come from the popping of bubbles in the synovial fluid, as previously believed. (Kawchuk G. N. et al., 2015)
  • When someone cracks their back, the force pulls the bones of the joint apart, causing the pressure within the joint to drop and form a bubble, which eventually dissipates. (Kawchuk G. N. et al., 2015)

Crepitus

  • Crepitus is the medical term for cracking or popping noise from joints.
  • It is not a condition or disease but can be a symptom of one.
  • Other terms include clicking or crunching.

Is It Safe To Perform Daily?

Back cracking once a day is generally considered safe. But if it causes pain or swelling, then stop and contact a healthcare provider. If someone feels the need to crack their back more throughout the day, it could be a sign that they need to see a professional chiropractic healthcare provider. (AICA Orthopedics, 2022) Individuals may crack their backs to address certain conditions or to relieve various discomfort symptoms that can include: (National Center for Complementary and Integrative Health, 2025)

  • Headache
  • Neck pain
  • Lower back pain
  • Sciatica

Individuals may often experience mild side effects like headache, stiffness, or pain. These side effects tend to resolve within a day. Though back cracking can provide temporary relief for some conditions, some serious side effects like neurological problems or strokes have been reported. (National Center for Complementary and Integrative Health, 2025)

Stretches and Movements

When someone needs to crack their back, they can perform a spine stretch. Here are a couple of stretches and movements. (American Academy of Orthopedic Surgeons, 2022)

Sitting Rotation Stretch

  • Sit on the floor with both legs straight.
  • Cross the right foot over the left leg.
  • Rotate the upper body to the right side and press against the right knee with the left elbow.
  • Hold the stretch for 30 seconds and come back to the center.
  • Repeat on the other side.

Knee to Chest

  • Lie flat on the ground.
  • Lift one leg and bring the knee to the chest, pulling the knee in with your hands.
  • Hold for five seconds.
  • Repeat with the other leg.

Several back-cracking assistive devices, such as poles and wheels, are available. Talk to a healthcare provider to determine the right type and ensure it is safe for you and your condition or injury.

Individuals Who Should Avoid Back Cracking

Back cracking can cause additional stress or damage to the joints in those with back injuries or other conditions. Individuals with these conditions should avoid back cracking (AICA Orthopedics, 2022)

  • Numbness or tingling of the arms or legs.
  • Osteoporosis
  • Spinal cancer
  • Spinal abnormalities
  • Individuals who have a high stroke risk.

A Professional Back Adjustment

A chiropractor is a healthcare provider who specializes in spine and spinal adjustments. They adjust the spine and other areas of the body to correct misalignment problems, reduce and relieve pain, and allow the body to recover independently. (National Library of Medicine. MedlinePlus, 2023) The chiropractor will take a health history to learn about previous injuries and conditions. Then, they will evaluate the patient and determine the best course of action. Although a chiropractor performs spinal adjustments, they may also incorporate other treatments, including: (National Library of Medicine. MedlinePlus, 2023)

  • Stretching
  • Non-surgical decompression and traction
  • Acupuncture
  • Muscle Energy Technique (MET)
  • Exercise routines
  • Heat
  • Ice
  • Electrical stimulation
  • Dietary supplements
  • Nutrition and lifestyle counseling

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.

Chiropractic Secrets

References

Kawchuk, G. N., Fryer, J., Jaremko, J. L., Zeng, H., Rowe, L., & Thompson, R. (2015). Real-time visualization of joint cavitation. PloS one, 10(4), e0119470. https://doi.org/10.1371/journal.pone.0119470

AICA Orthopedics. (2022). Is cracking your back bad? https://aica.com/is-cracking-your-back-bad/

National Center for Complementary and Integrative Health. (2025). Spinal manipulation: what you need to know. Retrieved from https://www.nccih.nih.gov/health/spinal-manipulation-what-you-need-to-know

American Academy of Orthopedic Surgeons. (2022). Spine conditioning program. https://orthoinfo.aaos.org/en/recovery/spine-conditioning-program/

National Library of Medicine. MedlinePlus.  (2023). Chiropractic. Retrieved from https://medlineplus.gov/chiropractic.html

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

Insights on Kyphosis & Treatment Approaches

Discover effective treatment approaches for kyphosis, its causes and symptoms while enhancing your posture today.

Introduction

How often do you catch yourself slouching after hours at a desk or scrolling through your phone? Do you experience persistent neck strain, shoulder tightness, or upper back discomfort? While many people recognize poor posture as an annoyance, few realize that long-term postural dysfunction can contribute to kyphosis—a spinal condition characterized by excessive forward curvature of the thoracic spine.

As a nurse practitioner with 20 years of experience in physical medicine and musculoskeletal health, I have seen firsthand how kyphosis affects both young and older adults, often leading to pain, mobility limitations, and even systemic complications. With a background that includes chiropractic care integration, I emphasize a multidisciplinary approach to kyphosis treatment, focusing on conservative therapies that address spinal alignment, muscle strength, and postural control.

This article explores the environmental causes of kyphosis, its impact on the musculoskeletal system, and evidence-based treatment strategies, including chiropractic adjustments, physical therapy, and postural rehabilitation.

What is Kyphosis? Understanding the Spinal Deformity

Kyphosis refers to an excessive anterior curvature of the thoracic spine, exceeding 40 degrees. While a mild thoracic curve is normal, excessive kyphosis can lead to visible postural changes, musculoskeletal pain, and even respiratory or gastrointestinal complications in severe cases.

Types of Kyphosis

There are several classifications of kyphosis, each with distinct causes:

  • Postural Kyphosis: The most common type, usually seen in adolescents and office workers, resulting from prolonged slouching and weak spinal musculature.
  • Scheuermann’s Kyphosis: A more rigid spinal deformity due to wedge-shaped vertebrae, typically diagnosed in teenagers.
  • Osteoporotic Kyphosis: Common in older adults due to vertebral compression fractures from osteoporosis.
  • Congenital Kyphosis: A rare condition present from birth due to abnormal vertebral development.

If left untreated, kyphosis can progressively worsen, leading to significant postural, neurological, and functional impairments.

Environmental Factors Contributing to Kyphosis

While genetic predisposition plays a role in kyphosis development, environmental and lifestyle factors significantly contribute to the condition. Understanding these risk factors can help with prevention and early intervention.

1. Poor Posture & Prolonged Sedentary Behavior

Chronic slouching, improper ergonomics, and excessive screen time encourage adaptive shortening of the anterior muscles (pectorals and upper abdominals) while weakening the posterior chain (erector spinae and scapular stabilizers). This imbalance reinforces thoracic kyphosis over time.

2. Sedentary Lifestyle & Weak Core Stability

A lack of functional movement and spinal stabilization exercises leads to postural instability, increasing the likelihood of kyphotic progression. A weak core and underactive back extensors contribute to poor spinal support, leading to excessive forward bending of the thoracic spine.

3. Heavy Backpacks & Improper Lifting Mechanics

In children and adolescents, carrying overweight backpacks can accelerate kyphotic posture by exerting excessive downward pressure on the spine. Similarly, incorrect lifting mechanics in adults (e.g., repetitive forward bending with poor lumbar support) increase spinal stress, contributing to degenerative kyphosis.

4. Osteoporosis & Age-Related Bone Loss

Older adults, particularly postmenopausal women, are at a higher risk of developing osteoporotic kyphosis due to decreased bone density. Compression fractures in the thoracic vertebrae can lead to irreversible spinal deformity, making early bone health management critical.

5. Spinal Injuries & Degenerative Disc Disease

Trauma, herniated discs, and chronic spinal degeneration can disrupt normal vertebral alignment, leading to structural kyphosis. Degenerative changes in the intervertebral discs contribute to spinal instability, loss of disc height, and increased forward curvature of the thoracic spine.

Symptoms & Effects of Kyphosis on the Musculoskeletal System

Kyphosis not only alters spinal alignment but also leads to cascading effects throughout the musculoskeletal system. Depending on severity, symptoms may range from mild discomfort to functional disability.

Common Symptoms of Kyphosis

–Upper Back Pain & Stiffness: Chronic discomfort, particularly between the shoulder blades and mid-thoracic region.
–Limited Mobility & Flexibility: A rigid thoracic spine reduces spinal extension, affecting overall movement.
–Neck & Shoulder Tension: Forward head posture and rounded shoulders cause excessive strain on the cervical spine, leading to cervicogenic headaches and referred pain.
–Muscle Fatigue & Weakness: Over time, kyphotic posture weakens the paraspinal muscles, reducing spinal endurance.
–Breathing & Digestive Issues: Severe kyphosis can compress the thoracic cavity, leading to restricted lung expansion and impaired digestion.

Neuromuscular Impact of Kyphosis

Cervical Involvement: Increased kyphotic curvature forces cervical hyperextension, straining the posterior neck muscles and contributing to occipital headaches, vertigo, and TMJ dysfunction.

Thoracic & Lumbar Impact: Kyphosis can trigger compensatory hyperlordosis in the lumbar spine, increasing stress on the lower back and contributing to disc degeneration and sciatic symptoms.

Biomechanical Dysfunction: Altered gait mechanics, hip instability, and reduced balance have been observed in patients with significant kyphotic curvature (Lorbergs et al., 2017).

Understanding Long-Lasting Injuries- Video

Effective Treatment Approaches for Kyphosis

1. Chiropractic Care for Kyphosis Management

Chiropractic therapy is one of the most effective non-invasive treatments for managing kyphosis-related pain and improving spinal alignment. Research has shown that chiropractic spinal manipulation can improve mobility, reduce pain, and enhance postural stability (Norton et al., 2022).

Key Benefits of Chiropractic Adjustments:

1Spinal Realignment: Chiropractic adjustments restore normal vertebral positioning and reduce excessive thoracic curvature.
–Improved Postural Control: Chiropractic care strengthens postural awareness, spinal mobility, and core stability.
–Reduced Muscle Tension & Nerve Compression: Manual therapy alleviates trigger points, myofascial restrictions, and nerve impingements contributing to kyphotic discomfort.
 –Enhanced Flexibility & Range of Motion: Stretching techniques combined with spinal mobilization restore thoracic extension and shoulder mobility.

2. Physical Therapy & Postural Rehabilitation

Physical therapy plays a crucial role in strengthening the posterior chain, improving spinal stability, and reinforcing proper movement mechanics.

–Thoracic Extension Exercises (e.g., foam rolling, wall angels)
– Core Stabilization & Strength Training (e.g., dead bugs, planks)
– Scapular Retraction & Strengthening (e.g., rows, reverse flys)
–Cervical & Lumbar Postural Corrections

3. Bracing for Kyphosis Correction

In adolescents with Scheuermann’s kyphosis, bracing can help prevent worsening curvature during growth phases.

4. Postural Ergonomics & Lifestyle Modifications

– Ergonomic Workstations: Maintaining neutral spine alignment while sitting reduces kyphotic strain.
– Daily Mobility Exercises: Incorporating yoga, Pilates, or spinal decompression exercises can improve flexibility.
– Weight Management & Bone Health Optimization: Vitamin D, calcium supplementation, and weight-bearing exercises support spinal integrity.

Final Thoughts: Addressing Kyphosis Proactively

Kyphosis is a progressive condition that requires early intervention and a multidisciplinary treatment approach. By combining chiropractic adjustments, targeted physical therapy, and ergonomic modifications, patients can significantly reduce pain, improve posture, and enhance spinal function.

Injury Medical Chiropractic & Functional Medicine Clinic

We associate with certified medical providers who implement the importance of the causes and symptoms of kyphosis. While asking important questions to our associated medical providers, we advise patients to integrate small changes into their daily routine to reduce the effects of kyphosis from affecting the cervical and thoracic areas. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

References

Fortner, M. O., Oakley, P. A., & Harrison, D. E. (2017). Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics((R)): a case report utilizing a multimodal mirror image((R)) rehabilitation program. Journal of Physical Therapy Science, 29(8), 1475-1480. https://doi.org/10.1589/jpts.29.1475

Jenkins, H. J., Downie, A. S., Fernandez, M., & Hancock, M. J. (2021). Decreasing thoracic hyperkyphosis – Which treatments are most effective? A systematic literature review and meta-analysis. Musculoskelet Sci Pract, 56, 102438. https://doi.org/10.1016/j.msksp.2021.102438

Lam, J. C., & Mukhdomi, T. (2025). Kyphosis. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/32644371

Lorbergs, A. L., Murabito, J. M., Jarraya, M., Guermazi, A., Allaire, B. T., Yang, L., Kiel, D. P., Cupples, L. A., Bouxsein, M. L., Travison, T. G., & Samelson, E. J. (2017). Thoracic Kyphosis and Physical Function: The Framingham Study. J Am Geriatr Soc, 65(10), 2257-2264. https://doi.org/10.1111/jgs.15038

Norton, T. C., Oakley, P. A., & Harrison, D. E. (2022). Improving the cervical lordosis relieves neck pain and chronic headaches in a pediatric: a Chiropractic Biophysics((R)) (CBP((R))) case report with a 17-month follow-up. Journal of Physical Therapy Science, 34(1), 71-75. https://doi.org/10.1589/jpts.34.71

Oakley, P. A., Gage, W. H., Harrison, D. E., & Mochizuki, G. (2024). Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics((R)) case report. Journal of Physical Therapy Science, 36(11), 756-764. https://doi.org/10.1589/jpts.36.756

Ogura, Y., Dimar, J. R., Djurasovic, M., & Carreon, L. Y. (2021). Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg, 7(3), 422-433. https://doi.org/10.21037/jss-21-54

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