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Can understanding the body's hinge joints and how they operate help with mobility and flexibility problems and manage conditions for individuals with difficulty fully bending or extending their fingers, toes, elbows, ankles, or knees? Hinge Joints A joint forms where one bone connects to another, allowing motion. Different types of joints differ in structure and movement depending on their location. These include hinge, ball and socket, planar, pivot, saddle, and ellipsoid joints. (Boundless. General Biology, N.D.) Hinge joints are synovial joints that move through one plane of motion: flexion and extension. Hinge joints are found in the fingers, elbows, knees, ankles, and toes and control movement for various functions. Injuries, osteoarthritis, and autoimmune conditions can affect hinge joints. Rest, medication, ice, and physical therapy can help alleviate pain, improve strength and range of motion, and help manage conditions. Anatomy A joint is formed by the joining of two or more bones. The human body has three main classifications of joints, categorized by the degree to which they can move. These include: (Boundless. General Biology, N.D.) Synarthroses - These are fixed, immovable joints.
- Formed by two or more bones.
Amphiarthroses - Also known as cartilaginous joints.
- A fibrocartilage disc separates the bones that form the joints.
- These movable joints allow for a slight degree of movement.
Diarthroses - Also known as synovial joints.
- These are the most common freely mobile joints that allow movement in multiple directions.
- The bones that form the joints are lined with articular cartilage and enclosed in a joint capsule filled with synovial fluid that allows for smooth motion.
Synovial joints are classified into different types depending on differences in structure and the number of motion planes they allow. A hinge joint is a synovial joint that allows movement in one plane of motion, similar to a door hinge that moves forward and backward. Within the joint, the end of one bone is typically convex/pointed outward, with the other concave/rounded inward to allow the ends to fit smoothly. Because hinge joints only move through one plane of movement, they tend to be more stable than other synovial joints. (Boundless. General Biology, N.D.) Hinge joints include: - The finger and toe joints - allow the fingers and toes to bend and extend.
- The elbow joint - allows the elbow to bend and extend.
- The knee joint - allows the knee to bend and extend.
- The talocrural joint of the ankle - allows the ankle to move up/dorsiflexion and down/plantarflexion.
Hinge joints allow the limbs, fingers, and toes to extend away and bend toward the body. This movement is essential for activities of daily living, such as showering, getting dressed, eating, walking, standing up, and sitting down. Conditions Osteoarthritis and inflammatory forms of arthritis can affect any joint (Arthritis Foundation. N.D.) Autoimmune inflammatory forms of arthritis, including rheumatoid and psoriatic arthritis, can cause the body to attack its joints. These commonly affect the knees and fingers, resulting in swelling, stiffness, and pain. (Kamata, M., Tada, Y. 2020) Gout is an inflammatory form of arthritis that develops from elevated levels of uric acid in the blood and most commonly affects the hinge joint of the big toe. Other conditions that affect hinge joints include: - Injuries to the cartilage within the joints or ligaments that stabilize the outside of the joints.
- Ligament sprains or tears can result from jammed fingers or toes, rolled ankles, twisting injuries, and direct impact on the knee.
- These injuries can also affect the meniscus, the tough cartilage within the knee joint that helps cushion and absorb shock.
Rehabilitation Conditions that affect hinge joints often cause inflammation and swelling, resulting in pain and limited mobility. After an injury or during an inflammatory condition flare-up, limiting active movement and resting the affected joint can reduce increased stress and pain. - Applying ice can decrease inflammation and swelling.
- Pain-relieving medications like NSAIDs can also help reduce pain. (Arthritis Foundation. N.D.)
- Once the pain and swelling start to subside, physical and/or occupational therapy can help rehabilitate the affected areas.
- A therapist will provide stretches and exercises to help improve the joint range of motion and strengthen the supporting muscles.
- For individuals experiencing hinge joint pain from an autoimmune condition, biologic medications to decrease the body’s autoimmune activity are administered through infusions delivered every several weeks or months. (Kamata, M., Tada, Y. 2020)
- Cortisone injections may also be used to decrease inflammation.
At Injury Medical Chiropractic and Functional Medicine Clinic, we passionately focus on treating patients’ injuries and chronic pain syndromes and improving ability through flexibility, mobility, and agility programs tailored to the individual. Our providers use an integrated approach to create personalized care plans that include Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine protocols. Our goal is to relieve pain naturally by restoring health and function to the body. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the most effective clinical treatments. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Boundless. General Biology. (N.D.). 38.12: Joints and Skeletal Movement - Types of Synovial Joints. In. LibreTexts Biology. https://bio.libretexts.org/Bookshelves/Introductory_and_General_Biology/Book%3A_General_Biology_%28Boundless%29/38%3A_The_Musculoskeletal_System/38.12%3A_Joints_and_Skeletal_Movement_-_Types_of_Synovial_Joints Arthritis Foundation. (N.D.). Osteoarthritis. Arthritis Foundation. https://www.arthritis.org/diseases/osteoarthritis Kamata, M., & Tada, Y. (2020). Efficacy and Safety of Biologics for Psoriasis and Psoriatic Arthritis and Their Impact on Comorbidities: A Literature Review. International journal of molecular sciences, 21(5), 1690. https://doi.org/10.3390/ijms21051690
Individuals with plantar fasciitis may experience consistent flare-ups. Can knowing the causes help to find pain relief? Plantar Fasciitis Flare-Up Plantar fasciitis is a common cause of heel and foot pain. The plantar fascia is a band of tissue that runs along the bottom of the foot and becomes inflamed. Certain factors can cause plantar fasciitis flare-ups, including: - Increased levels of physical activity.
- Not stretching regularly.
- Wearing shoes without proper support.
- Weight gain.
Causes A plantar fasciitis flare-up is often triggered by physical activity. (MedlinePlus. U.S. National Library of Medicine. 2022) It can also be brought on by underlying conditions, like increased body weight, arthritis, or the shape of the foot. (Johns Hopkins Medicine. 2023) Despite the root cause, there are activities and experiences that can contribute to and/or worsen the condition. New Exercise Routine - Being highly physically active can exacerbate plantar fasciitis symptoms.
- A plantar fasciitis flare-up can happen after a sudden increase in activity, like starting a new exercise program or adding new exercises to a routine. (MedlinePlus. U.S. National Library of Medicine. 2022)
- Walking or running on uneven surfaces or downhill can be a trigger. (Johns Hopkins Medicine. 2023)
- Minimizing physical activity and time standing can help.
- If this is not possible, wearing cushioned shoes with arch support can help minimize pain. (Johns Hopkins Medicine. 2023)
Weight Gain - Individuals who have an increased or increasing body weight add more pressure to their feet, placing them at higher risk for plantar fasciitis. (MedlinePlus. U.S. National Library of Medicine. 2022)
- If experiencing consistent flare-ups, a healthcare provider may suggest an appropriate weight loss program combined with a treatment plan.
Pregnancy Shoes Without Support - Wearing shoes without arch support can cause general foot pain and plantar flare-ups.
- Individuals should wear shoes with plenty of cushioning and arch support, like sneakers. (Ortho Info. Academy of Orthopaedic Surgeons. 2022)
- Shoes that are not recommended include:
- Flip-flops
- Shoes that are flat.
- High heels, boots, or shoes that raise the heel above the toes.
- Worn-out shoes like exercise workout shoes.
Not Stretching Properly or At All - Tight calves can increase pressure on the plantar fascia.
- Stretching the calves, Achilles tendon/heel, and the bottom of the feet is highly recommended to help treat and prevent the condition. (Johns Hopkins Medicine. 2023)
- Not stretching thoroughly or skipping stretches can worsen symptoms.
- Individuals with plantar fasciitis are recommended to stretch before and after physical activities, exercise, before going to bed, and after waking up.
Working Through the Pain - Individuals may try to continue physical activities during a flare-up.
- This is not recommended as doing so can cause more pain and worsen the condition.
- When pain presents, it’s recommended to:
- Stop all activities that strain the feet
- Stay off the feet for at least a week.
Tearing the Plantar Fascia - The plantar fascia rarely tear completely from repeated stress known as a plantar fascia rupture.
- If this happens, sudden severe pain will present and individuals are advised to call their healthcare provider. (Stephanie C. Pascoe, Timothy J. Mazzola. 2016)
- However, individuals can recover relatively fast, and pain alleviates quickly.
- Individuals with tears will be recommended to wear a foot orthotic as the foot may have flattened more.
Risk Factors Plantar fasciitis can happen to anyone, but individuals who have the following characteristics are at an increased risk: (Ortho Info. Academy of Orthopaedic Surgeons. 2022) - A high-foot arch.
- Jobs or hobbies that place added strain on the feet.
- Tight calf muscles.
- A sudden increase in physical activity.
- A new exercise regimen.
- Increased body weight.
- Sudden weight gain like during pregnancy.
How Long Does a Flare Last? Treatment In addition to rest treatments for plantar fasciitis can include: (Ortho Info. Academy of Orthopaedic Surgeons. 2022) Ice - Icing the bottom of the foot for 15 minutes a few times a day decreases inflammation.
Nonsteroidal anti-inflammatory drugs - NSAIDs - Over-the-counter NSAIDs like ibuprofen and naproxen, can reduce pain and inflammation.
- It is recommended to consult a healthcare provider for short-term use and dosage.
Proper Shoes - Shoes with arch supports are highly recommended.
- A healthcare provider can order custom orthotics for more support.
Stretching - Stretches are essential for treatment.
- Stretching the calf and bottom of the foot daily will keep the tissue relaxed.
Massages - Massaging the area with a therapeutic massage ball soothes the tissues.
- Using a percussive massager can increase circulation.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References MedlinePlus. National Library of Medicine. (2022) U.S. Plantar fasciitis. Johns Hopkins Medicine. (2023) Plantar fasciitis. Boston Children's Hospital. (2023) Plantar fasciitis. Ortho Info. Academy of Orthopaedic Surgeons. (2022) Plantar fasciitis and bone spurs. Pascoe, S. C., & Mazzola, T. J. (2016). Acute Medial Plantar Fascia Tear. The Journal of orthopaedic and sports physical therapy, 46(6), 495. https://doi.org/10.2519/jospt.2016.0409
Many live with chronic discomfort and pain regularly in one or both knees. This could be from past injuries, being overweight, lack of physical conditioning, degeneration, or arthritis. Many take prescription or over-the-counter pain medication to deal with the discomfort. Pain medications only dull and mask the pain and discomfort associated with the symptoms. As a result, living with masked knee pain can worsen the condition, and the surrounding bones, joints, and tissues can begin to deteriorate. Chiropractic combined with massage, decompression, and traction therapy can significantly reduce or eliminate knee pain. Knee Discomfort and Pain The knee's joint and ligaments need to be strong and healthy to support activities. The most common issues that individuals develop include: Acute Injuries - Knee injuries can be caused by auto accidents, physical strain, playing sports, work accidents, workplace ergonomics, and walking up and down stairs.
- The most common acute knee injuries include:
- Knee contusions.
- Ligament sprain.
- Muscle strains.
- Puncture injuries.
Chronic Injuries - Chronic or inflammatory medical conditions can wear down the cartilage cushion between the upper and lower leg bones.
- Most common include gout, septic arthritis, osteoarthritis, and rheumatoid arthritis.
- Unhealthy postures and obesity can also contribute to the chronic degradation of the knee joint.
Knee discomfort and pain can present in various ways. Some might hear an acute popping in the knee followed by swelling. Others might notice the gradual development of stiffness and weakness over time. When injured or compromised, localized pain is one of the first indicators. Chronic knee and joint pain can lead to weakness, nerve damage, or create new injuries/problems. Not all knee pain is caused by injury; in many cases, a triggering incident, like an awkward step or misstep, a stretch that went too far, or a walk, can create an injury. Even a sedentary lifestyle can contribute to knee degeneration as the surrounding muscles can lose strength, placing unnecessary strain on the joints when movement is necessary. Chiropractic A chiropractor will examine the knee through a series of analyses, including x-rays, digital imaging, and a physical exam. The chiropractor will develop a personalized treatment plan to treat, rehabilitate, and strengthen the knee. The treatment can include: - Physical therapy
- Trigger point therapy
- Myofascial release
- Massage therapy
- Hip manipulation
- Knee manipulation
- Posture correction to distribute body weight evenly, lessening the stress on an affected knee.
- Targeted exercises and nutritional recommendations will ensure long-term healing.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Cimino, Francesca, et al. "Anterior cruciate ligament injury: diagnosis, management, and prevention." American family physician vol. 82,8 (2010): 917-22. Donnell-Fink, Laurel A et al. "Effectiveness of Knee Injury and Anterior Cruciate Ligament Tear Prevention Programs: A Meta-Analysis." PloS one vol. 10,12 e0144063. 4 Dec. 2015, doi:10.1371/journal.pone.0144063 Hoskins, Wayne, et al. "Chiropractic treatment of lower extremity conditions: a literature review." Journal of manipulative and physiological therapeutics vol. 29,8 (2006): 658-71. doi:10.1016/j.jmpt.2006.08.004 Neogi, Tuhina, et al. "Sensitivity and sensitization in relation to pain severity in knee osteoarthritis: trait or state?." Annals of the rheumatic diseases vol. 74,4 (2015): 682-8. doi:10.1136/annrheumdis-2013-204191
Individuals typically don't think about their spine as they go through their everyday lives, bending, reaching, twisting, lifting, etc. However, it is through all of these movements/motions that spinal misalignments can occur causing discomfort, pain, and health problems. This happens gradually, with individuals learning how to live with the misalignment, accepting it as a normal part of life. Spinal misalignments, known as subluxations, are common but can be resolved through chiropractic treatment. Spinal Misalignment The spine needs to stay strong, stable, and able to support the musculoskeletal system to keep the body upright and protect the central nervous system. When the spine is properly aligned the body stays strong and mobile. When the spine is misaligned, it can cause dysfunction of the central nervous system. Chiropractic is highly effective and a non-invasive way to improve the body's health. An individual will want to know if their spine is out of alignment to know what to do and what to avoid when back pain presents. Symptoms that the spine is out of alignment includes: Headaches, Back, and/or Joint Pain Headaches, joint pain, and backaches can be misalignment symptoms and are the most common. Many individuals learn to live with chronic headaches and migraines but do not realize that chiropractic treatment can help to reduce, or in a case like this, can eliminate them. Back pain, especially low back pain is another symptom of misalignment. However, there can be a variety of causes, like a herniated disc, degenerative disc disease, a chiropractor will alleviate the pain without medication or surgery. A chiropractor will find the root cause and correct any misalignments. The Heels of Shoes Wear Out Unevenly This is a symptom that can come from cheap shoes, but often it is from a misaligned pelvis/pelvic tilt. What happens is the hips are shifted out of their proper position, which causes the feet to land on the ground unevenly. Stiffness and/or Inability To Turn The Head or Hips If the neck is stiff or there is difficultness, pain when turning, or you can hear the neck crack when turning, this is a sure symptom of cervical misalignment. The same is true with the hips. A subluxation can also cause muscles to tighten or damage the connective tissues, like the ligaments or tendons. Individuals can get used to feeling this way, but it can lead to losing the full range of motion along with pain, stiffness, and inability to perform certain tasks. Joint Stiffness, Aches, and Pains Trying to push through back stiffness, along with aches and pains is not healthy. Improper ergonomics and postures could be caused by spinal misalignment or could worsen a subluxation causing further injury. A chiropractor will: - Educate on proper ergonomics
- Show how to improve posture
- Perform adjustments
- Recommend anti-inflammatory supplements
- Perform physical therapeutic massage to eliminate stiffness, alleviate pain, and relieve stress.
Numbness or Tingling in Hands or Feet This is a sure symptom that of a misaligned spine. Numbness and/or tingling sensations often indicate pinched/compressed nerves. The compression or irritation can result in pain or the aforementioned sensations. A chiropractor will ease the pressure on the nerves, allowing for proper circulation, bringing back the full sensation to the affected area/s. Fiber Health Benefits Fiber health benefits include lowering the risk of developing diseases like diabetes, obesity, hypertension, and more. It is also beneficial for those who have diabetes to improve insulin sensitivity. Adding more fiber to your diet can enhance weight loss goals. Fruits and vegetables are the highest-fiber foods available. Fiber and Gut Health The beneficial bacteria that live in the gut thrive from fruit and vegetable fiber. Because the body does not absorb fiber, the bacteria ferment the fiber. Anti-inflammatory fatty acids are released as a by-product of this process and help to protect the health of the gut. They can also help with appetite regulation. Fiber-Rich Fruits and Veggies Disclaimer The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico References Czaprowski, Dariusz et al. “Non-structural misalignments of body posture in the sagittal plane.” Scoliosis and spinal disorders vol. 13 6. 5 Mar. 2018, doi:10.1186/s13013-018-0151-5 Formica, M et al. “ALIF in the correction of spinal sagittal misalignment. A systematic review of the literature.” The 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 vol. 30,1 (2021): 50-62. doi:10.1007/s00586-020-06598-y Granacher, Urs et al. “Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults.” Gerontology vol. 59,2 (2013): 105-13. doi:10.1159/000343152
Be sure to talk with your provider before taking or combining dietary and herbal supplements with prescription meds or over the counter medications. Individuals with chronic back/neck pain but want to get away from medication/s, and pain relievers, dietary and herbal supplements could be an option. There are dietary supplements as well as, herbal supplements that although used in nutrition, also have added benefits for pain and inflammation relief. Individuals have found herbs and supplements to be helpful in reducing and alleviating their pain. It is important to understand that these are not a cure-all that will take the pain away or the depression that accompanies chronic spine-related conditions. These are made to help to manage back pain symptoms. Nutrition and Dietary A healthy diet includes plenty of fruit, vegetables, and whole grains which keeps the body in top form. Antioxidant foods like green leafy vegetables and berries help in fighting inflammation. Dietary and herbal supplements that research has found helpful in reducing inflammation and pain are listed. However, we must point out that several of these supplements can increase the risk of bleeding. Therefore have a discussion with your health care provider before taking any type of supplement. Supplements Omega-3 fatty acids - Flaxseed and Fish Oils
- Omega-3 fatty acids can increase the risk of bleeding and conflict with blood-thinning medications like warfarin coumadin and aspirin.
Glucosamine/Chondroitin - Studies show these supplements can help relieve arthritis pain but have not been studied as a treatment for back pain.
- Glucosamine and chondroitin can interfere with blood-thinning medications like warfarin coumadin and aspirin.
Methylsulfonylmethane MSM - MSM can help relieve arthritis pain.
Bromelain - This is an enzyme that can reduce inflammation
- It can increase the risk of bleeding, so do not take this without consulting a health care provider
- It can interact/interfere with antibiotic meds
- Do not take if have a peptic ulcer
Herbal Supplements Herbal supplements have been used by many cultures for health and dietary benefits for a very long time. These supplements are literally made from herbs/plants valued for their flavor, scent, and medicinal qualities. Examples of herbal supplements for pain include: - Cayenne reduces pain signal intensity
- Devil's claw relieves inflammation
- Eucalyptus clears chest congestion
Benefits of Herbs People prefer dietary and herbal supplements instead of standard/traditional drugs and medications for a variety of reasons. - Some because they provide pain relief without the side effects associated with medications. An example is white willow bark, that has been used for years for its anti-inflammatory benefits. And it doesn't upset the stomach the way medications the way aspirin does.
- Some prefer herbal supplements because they are natural.
Herbs come in pill, capsule, tablets, teas, and liquid extracts. Turmeric - Reduces inflammation and pain
- Turmeric can increase the risk of bleeding, especially for those taking blood-thinning medication
Devil's claw - Reduces pain
- Can increase the risk of bleeding and interact with diabetes meds
- Can affect the heart and can cause issues for those with gallstones
Willow bark - Relieves pain
- Do not take if taking aspirin or blood-thinning meds
- Do not take if are allergic to aspirin or salicylates
- Do not give to children under eighteen
Capsaicin cream - Reduces pain and inflammation
- It is one of the main components in chili peppers
Things to Remember - Dietary and herbal supplements do not have to be approved by the U.S. Food and Drug Administration before they are sold.
- Herbs can have medication-like effects on the body
- Products sold as dietary supplements and promoted as a treatment, prevention, and/or cure for a disease or condition is considered an unapproved and illegal drug
While dietary supplements and herbal supplements are primarily used to help nutritional needs, these supplements can serve medicinal purposes. Explore alternatives from conventional medications with herbal supplements, as this could be an option. Check with your health care provider before taking supplements if you are pregnant, nursing a baby, or have a chronic medical condition like diabetes, hypertension, or heart disease.
Fibromyalgia is one of the most common chronic pain conditions presently affecting many individuals. According to the American College of Rheumatology, approximately 1 in 50 Americans currently suffer from fibromyalgia. The condition can be challenging to properly diagnose and it can cause chronic symptoms which can last up to several months and even years. Fibromyalgia is commonly characterized by widespread body pain which may usually develop tenderness that can cause pain with the slightest amount of applied pressure. Individuals who’ve been diagnosed with the condition have a variety of traditional and alternative treatment options available. Managing the symptoms of fibromyalgia through traditional approaches include anti-inflammatory prescriptions, sleep medications, and muscle relaxers. Many individuals generally prefer to use natural remedies instead of or in addition to traditional medications, such as vitamin therapy, acupuncture, and meditation. But, one of the most common treatments that people with fibromyalgia seek is chiropractic care. Chiropractic treatment offers many benefits towards relieving the condition and its painful symptoms. The most challenging complication pertaining to individuals who suffer from fibromyalgia involves the constant and persistent pain, which can often affect the entire body for weeks or months. Despite initially seeking care for their symptoms, many individuals receiving chiropractic care for their fibromyalgia pain may experience overall health benefits as well. Through chiropractic treatment, a chiropractor will focus on adjusting the spine and improving the body’s natural alignment by also providing a variety of soft tissue manual manipulations. Chiropractors can help individuals with the condition in order to reduce the painful pressure points usually associated with fibromyalgia. A variety of people diagnosed with fibromyalgia look for relief through chiropractic treatment options and find a decrease in the tender spots. Chiropractors are also able to restore an individual’s natural range of motion by adjusting the body’s joints and helping them reduce their body’s stiffness as a result of the condition. By working with a chiropractor to loosen the joints and manage the tender areas, individuals suffering from the condition can gradually begin to enjoy deeper sleep and stay asleep longer. A treatment regimen should be built on a case-by-case basis designed to the specific needs of an individual.
Strength training and building strong muscles can help an individual lose weight. Exercising in general is a great way to burn calories and improve fitness levels but, muscle tissue can burn as many as 15 times more calories per day than fat tissue, including during rest. Building strong muscles can also help protect an individual’s joints, especially the back. when the muscles are stronger, the body places less pressure on the joints and connective tissue during physical activities, including exerting activities such as weight lifting. Building strong muscles to relieve strain on the joints is also essential for preventing and/or treating arthritis. Also, building stronger muscles can help improve an individual’s posture. Strength training and building stronger muscles is also healthy for the heart. Muscle tissue is able to perform with less amounts of oxygen, in other words, the heart doesn’t need to pump harder when being active. Additionally, building strong muscles can be good for managing blood pressure. Strength training can greatly benefit individuals as they age, helping to prevent injury or certain conditions. As we age, the body undergoes natural physical changes, such as degeneration of the joints, causing the development of certain health conditions, such as a degeneration of the spine or arthritis. Building strong muscles through strength training is essential towards maintaining overall health, fitness, and wellness. By learning how to participate in strength training workouts, a majority of individuals can ultimately benefit from their body’s natural functions in order to prevent, improve, and maintain, their ideal fitness goals.
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For individuals with arthritis, can incorporating acupuncture with other therapies help manage pain and other symptoms? Acupuncture For Arthritis Acupuncture has been around for thousands of years and is a form of traditional Chinese medicine that utilizes needles inserted into various parts of the body to relieve pain and inflammation. The practice is based on the concept of life energy that flows throughout the body along pathways called meridians. When the energy flow becomes disrupted, blocked, or injured, pain or illness can present. (Arthritis Foundation. N.D.) Further research is needed to determine how the acupuncture therapeutic mechanisms work and the overall effectiveness. However, there is emerging evidence suggesting that acupuncture can provide symptom relief for individuals with joint pain, especially those with osteoarthritis and rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018) Benefits The actual method that reduces the pain and inflammation is still unclear. Theories include that the needles suppress inflammatory responses, improve blood flow, and relax muscles. Although acupuncture cannot cure or reverse arthritis, it may be useful for managing pain and decreasing associated symptoms, especially in combination with other therapies. (Pei-Chi Chou, Heng-Yi Chu. 2018) Rheumatoid Arthritis A systematic review of 43 studies, including humans and animals with rheumatoid arthritis, demonstrated varied results. Several studies showed improvement in symptoms and decreased biological markers of rheumatoid arthritis following one to three sessions of acupuncture for four weeks or more. (Sharon L. Kolasinski et al., 2020) Beneficial outcomes following acupuncture treatment for rheumatoid arthritis include: - Reduced pain
- Reduced joint stiffness
- Improved physical function
The results of the human and animal studies suggested that acupuncture has the potential to down-regulate: - Levels of interleukins
- Levels of tumor necrosis factor
- Specific cell signaling proteins/cytokines involved in the inflammatory response, which become elevated in autoimmune conditions like rheumatoid arthritis. (Pei-Chi Chou, Heng-Yi Chu. 2018)
- Most of the study subjects were also receiving other forms of treatment, especially medication. Therefore, it is difficult to conclude how beneficial acupuncture is alone or as a supplemental addition to other medical treatments. (Pei-Chi Chou, Heng-Yi Chu. 2018)
Osteoarthritis Acupuncture for osteoarthritis of the hand, hip, and knee is recommended, according to the American College of Rheumatology and Arthritis Foundation, meaning that it may be worth trying, although more research is needed to confirm its effectiveness. However, since the risk is relatively minor, acupuncture is generally considered a safe alternative treatment option for managing the symptoms. (Sharon L. Kolasinski et al., 2020) Chronic Pain As clinical trials suggest that acupuncture may be effective in providing pain relief, it may be a recommended option for individuals suffering from chronic pain. A recent systematic review of 20,827 patients and 39 trials concluded that acupuncture is effective for the treatment of chronic musculoskeletal pain, headache, and osteoarthritis pain. (Andrew J. Vickers et al., 2018) Other possible benefits include the antioxidative effects: (Pei-Chi Chou, Heng-Yi Chu. 2018) - Alleviating oxidative stress and inflammation
- Improving energy metabolism
- Triggering the release of endorphins/hormones that help reduce pain.
Safety - Acupuncture is considered a safe procedure by a licensed and certified professional.
- To practice acupuncture in the United States, an acupuncturist needs a minimum of a master’s degree from a program accredited by the American Academy of Acupuncture and Oriental Medicine and a license in the state where they received their acupuncture treatment.
- Doctors with an MD or DO degree licensed in the United States to practice medicine can also be licensed by the American Academy of Medical Acupuncture after additional training.
Risks Risks associated with acupuncture are bleeding and bruising, especially for individuals who have a bleeding disorder like hemophilia or take a blood thinning medication. Individuals are recommended to talk to their healthcare provider to determine if acupuncture is a safe option. Side Effects Most individuals do not experience any side effects, although possible reactions can include: (Shifen Xu et al., 2013) - Soreness
- Bruising
- Scarring
- Needle shock: a vasovagal response that presents as feeling faint, clammy hands, chills, and slight nausea.
Acupuncture Session - During the initial treatment, individuals will discuss their medical history and what joints and areas of their bodies are presenting with symptoms.
- After a physical exam, the individual will lie on a treatment table.
- Individuals may be face up or down depending on what areas of the body the acupuncturist needs to access.
- It is recommended to wear loose clothing that can be rolled up or moved out of the way to access different areas easily.
- Depending on what areas need to be accessed, individuals may be asked to change into a medical gown.
- The acupuncturist will use alcohol swabs to disinfect the area before inserting the needles.
- The needles are made of stainless steel and are extremely thin.
- Individuals may feel a slight pinch in sensitive areas like the hands and feet, but needle insertion should be comfortable and well-tolerated without significant discomfort.
- For electroacupuncture, the acupuncturist will pass a mild electric current through the needles, typically 40 to 80 volts.
- The needles stay in place for 20 to 30 minutes.
- After the treatment is finished, the acupuncturist will remove the needles and dispose of them.
Frequency - The frequency of acupuncture sessions will vary depending on the severity of the symptoms and whether the visits are approved and reimbursed by the health insurance company.
Cost and Insurance - Costs for acupuncture can vary from $75 to $200 per session.
- The first session, which involves an initial assessment and evaluation, usually costs more than follow-up visits.
- Whether the health insurance will cover some or all of the costs of acupuncture sessions depends on the individual insurance company and the condition being treated.
- Medicare currently covers acupuncture services up to 12 visits within a 90-day period for chronic low back pain only.
- Medicare will not cover acupuncture for other conditions. (Medicare.gov. N.D.)
Acupuncture is not a cure for arthritis, but it may be a useful tool to help manage pain and other symptoms. Make sure to consult a healthcare provider if acupuncture is safe to try based on medical history. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please contact Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Arthritis Foundation. (N.D.). Acupuncture for arthritis (Health & Wellness, Issue. https://www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis Chou, P. C., & Chu, H. Y. (2018). Clinical Efficacy of Acupuncture on Rheumatoid Arthritis and Associated Mechanisms: A Systemic Review. Evidence-based complementary and alternative medicine : eCAM, 2018, 8596918. https://doi.org/10.1155/2018/8596918 Kolasinski, S. L., Neogi, T., Hochberg, M. C., Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, W. F., Hawker, G., Herzig, E., Kwoh, C. K., Nelson, A. E., Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis care & research, 72(2), 149–162. https://doi.org/10.1002/acr.24131 Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Irnich, D., Witt, C. M., Linde, K., & Acupuncture Trialists' Collaboration (2018). Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. The journal of pain, 19(5), 455–474. https://doi.org/10.1016/j.jpain.2017.11.005 Xu, S., Wang, L., Cooper, E., Zhang, M., Manheimer, E., Berman, B., Shen, X., & Lao, L. (2013). Adverse events of acupuncture: a systematic review of case reports. Evidence-based complementary and alternative medicine : eCAM, 2013, 581203. https://doi.org/10.1155/2013/581203 Medicare.gov. (N.D.). Acupuncture. Retrieved from https://www.medicare.gov/coverage/acupuncture
Spinal Stenosis Walking Issues: Stenosis means a narrowing. Spinal stenosis can happen in any spine region, but the neck and lower back are the most common locations. The spinal canal becomes narrower and can cause the nerves to become compressed, pinched, and irritated and can extend from the lumbar spine through the hips, buttocks, legs, and feet. Individuals with lumbar spinal stenosis may have difficulty walking caused by sensations of discomfort like numbness, electrical shocks, and pain, requiring the need to lean forward to relieve pressure and symptoms. Additionally, symptoms are likely to worsen the longer the walk. Chiropractic treatment can treat spinal stenosis because it corrects and re-aligns the spine, thus reducing pressure on the spinal cord, joints, and nerve roots. Spinal Stenosis Walking Issues The spine is made up of interlocking vertebrae. The regions are cervical, thoracic, lumbar, and sacral bones with a foramen opening. These openings form the protective tunnel/spinal canal surrounding the spinal cord. The spinal cord is a group of nerves that run through the tunnel. The narrowing suffocates the nerves supplying the lower extremities that can influence walking activity. Symptoms There may be no symptoms with early lumbar spinal stenosis. Most individuals develop symptoms gradually and may begin to notice them while walking or standing. These can include: - Lower back pressure sensations when standing upright or walking.
- Leg numbness, tingling, weakness, burning, and/or cramping.
- Muscle weakness.
- Persistent pain in the back, hips, buttocks, or legs while walking.
- Difficulty lifting the top part of the foot - known as drop foot.
- Loss of sensation in the feet.
- A weak foot that drops/slaps down when walking.
- Loss of sexual ability.
- In more serious cases, severe numbness, bladder problems, and inability to stand.
Individuals begin to lean forward when symptoms start, bringing relief by reducing the pressure on the nerves. However, constantly leaning forward leads to other posture and health problems. Diagnosis A doctor or chiropractor will ask questions about symptoms and medical history and perform a complete physical examination to diagnose lumbar spinal stenosis. During the physical examination, a healthcare provider will look for signs, such as loss of sensation, weakness, and abnormal reflexes. Tests: - X-rays of the lumbar spine may show bone growths called spurs that push on spinal nerves and/or narrowing of the spinal canal.
- Imaging tests - A CT or MRI scan can provide a detailed look at the spinal canal and nerve structures.
- Other studies include - bone scans, myelogram, which is a CT scan that uses a color dye, and EMG, which is an electrical test of muscle activity.
Chiropractic Treatment Chiropractic care combined with physical therapy is a tried-and-true treatment for spinal stenosis. A chiropractic treatment plan can include targeted and passive exercise programs. Targeted exercises involve strengthening the core and back muscles. Passive treatments include hot and cold therapy, massage, decompression, and electrical stimulation. The objective of chiropractic therapy is to: - Strengthen muscles in the core and legs
- Correct posture and body mechanics.
- Improve mobility.
- Maintain ability to perform day-to-day activities.
- Recommend stretches.
- Educate on how to keep the spine and back muscles safe.
- Train on using devices like a back brace, cane, or walker properly.
- Advise about shoe inserts and splints.
- Suggest work and home environment modifications, such as ergonomics and cushions.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Conway, Justin, et al. “Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures.” The spine journal: official North American Spine Society journal vol. 11,9 (2011): 816-23. doi:10.1016/j.spinee.2010.10.019 Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234 Macedo, Luciana Gazzi, et al. “Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review.” Physical therapy vol. 93,12 (2013): 1646-60. doi:10.2522/ptj.20120379 Tomkins-Lane, Christy C et al. “Predictors of walking performance and walking capacity in people with lumbar spinal stenosis, low back pain, and asymptomatic controls.” Archives of physical medicine and rehabilitation vol. 93,4 (2012): 647-53. doi:10.1016/j.apmr.2011.09.023
The temporomandibular (tem-puh-roe-man-dib-u-lur) joint TMJ acts as a sliding hinge that connects the jawbone to the skull. There is one joint on each side of the jaw. TMJ jaw disorders are also known as temporomandibular disorders - TMD. These disorders affect the connecting point between the jaw and the skull that causes swelling and pain in the joint and the muscles that control movement. The disorder can be caused by a combination of factors, like stress, genetics, arthritis, or injury. The symptoms, pain, and discomfort are often temporary and can be relieved with self-care and nonsurgical treatment like chiropractic. Jaw Disorders If the jaw is not moving correctly or becomes imbalanced, it can stress the temporomandibular joint. If this happens, the jaw muscles and the neck and shoulder muscles can tense up and over time become fatigued as they overwork to compensate and keep the jaw balanced. The bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disc to maintain smooth movement. Jaw disorders can happen if: - The disc erodes or moves out of alignment.
- The joint's cartilage is damaged by arthritis.
- The joint is damaged by impact trauma like hitting the head from a fall or sports accident.
- Individuals that have been in an automobile accident.
Other factors include: Symptoms Symptoms of TMJ vary from case to case. These symptoms might include: - Problems with opening or closing the mouth
- Difficulty or pain while chewing
- Pain or tenderness of the jaw
- Pain in one or both of the temporomandibular joints
- Aching facial pain
- Neck and shoulder pain
- Headaches
- Aching pain in and around the ear
- Dizziness
- Locking of the joint
- Clicking sound
- Grating sensation
Chiropractic Relief Chiropractors can help with TMJ by alleviating tension and dysfunction in the shoulder, neck, and jaw. Once the dysfunction is relieved, it reduces the pressure on various nerves. Treatment includes: The Glycemic Index Not all carbs are equal, with some having a more significant effect on insulin levels than others. For individuals with diabetes or insulin resistance, this is important. A food's Glycemic Index - ranging from 0 to 100 - indicates how a particular carbohydrate will affect blood sugar and insulin levels. - Foods that digest quickly are high on the index.
- Foods that digest slowly are lower on the index.
Foods high on the GI scale, include potatoes and white bread, are quickly broken down. This is what happens when going through a sugar rush that comes crashing down minutes later. Foods low on the GI scale, include sweet potatoes and whole oats, are digested gradually. This results in a steady rise in blood sugar levels. The following factors may influence the GI scale: Food processing - The more processed the food, the higher the GI.
Fat and acid content - Foods high in fat, acid, or carbs eaten with fat or acid tend to have a lower GI.
Fiber content - Fiber slows down the rate of digestion, leading to a gradual, healthy rise in blood sugar levels.
Ripeness - Ripened fruits tend to have a higher GI than unripened fruit.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Alcantara, Joel et al. "Chiropractic care of a patient with temporomandibular disorder and atlas subluxation." Journal of manipulative and physiological therapeutics vol. 25,1 (2002): 63-70. doi:10.1067/mmt.2002.120415 DeVocht, James W et al. "A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder." Journal of the American Dental Association (1939) vol. 144,10 (2013): 1154-63. doi:10.14219/jada.archive.2013.0034 Pavia, Steven et al. "Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series." Journal of chiropractic medicine vol. 14,4 (2015): 279-84. doi:10.1016/j.jcm.2015.08.005 Rubis, Lisa M et al. "A collaborative approach between chiropractic and dentistry to address temporomandibular dysfunction: a case report." Journal of chiropractic medicine vol. 13,1 (2014): 55-61. doi:10.1016/j.jcm.2013.10.003
Shoulder and arm pain can be debilitating, especially when there is no obvious cause or injury that needs to be treated. A rare condition known as brachial neuritis can cause spasms along with pain down the arm, followed by numbness, tingling, and weakness. If not diagnosed and treated early, the symptoms can worsen with time. The pain experienced can be described as sharp, searing, and shooting. Brachial neuritis can be intense and disabling when it presents for hours and even days. Utilizing a chiropractic approach, shoulder and spinal adjustments can provide relief and a faster healing/recovery from the inflammatory condition. Individuals experiencing shoulder, arm, and possible hand pain should consult with a chiropractor about a potential home and clinic treatment plan to improve their condition. Medical History and Examination The process of diagnosing brachial neuritis involves an individual's medical history and physical exam. Cases that are more complicated could require imaging studies and electrodiagnostic tests. The first steps in diagnosing the cause of shoulder and/or arm pain include: Medical history Information will be collected on an individual's: - Medical history
- Family history
- Underlying conditions
- Recent illnesses or injuries
- Lifestyle habits
- How and when symptoms began
- Current symptoms
Physical examination A chiropractor will palpate or inspect by feeling the neck, shoulder, and arm for irregularities. Then they will examine the range of motion, strength, and reflexes. If the individual's history and physical exam suggest that the cause could be brachial neuritis or other condition that involves the nerves, then imaging studies, and diagnostic tests could be required to evaluate further. Symptoms of Brachial Neuritis The condition is also known as Parsonage-Turner Syndrome. It affects the brachial plexus, which is a set of nerves that run from the neck and upper back to the shoulders. The condition usually affects only one side of the body and presents randomly. What happens is the nerves become inflamed. - Inflammation can be triggered through an autoimmune response. This is often the result of an infection, surgical procedure, or other internal stressors. The inflammation can lead to severe debilitating shoulder pain over a few days.
- This also leads to long-term numbness, weakness in the shoulder, and arm.
- The pain becomes worse with movement.
- Typically, the pain goes away on its own within a few days.
- Numbness, weakness, or tingling in the shoulder or arm continues.
- Over time the symptoms begin to worsen and if left untreated could lead to muscular atrophy of the arm.
- The pain and weakness can make it difficult to move the arm at all, which leads to decreased strength.
- Symptoms can last up to a year or more.
This is why individuals have to find ways to strengthen their shoulder/arm in spite of the condition. Chiropractic Relief Treatment requires a pain management program until the pain subsides. Once the pain is manageable chiropractic, physical therapy, exercises, and stretches could be utilized to improve mobility and strength. Chiropractic can provide relief and tools necessary to prevent the worsening of symptoms. Chiropractic helps to: - Reduces pain
- Improves mobility
- Restores strength
Chiropractic manipulation will ensure that the nerves near the brachial plexus do not become compressed, but if they are then chiropractic can be utilized to decompress/release them. Trigger point release and massage can help alleviate the tension in the surrounding tissues of the arm and shoulder. A chiropractor will educate the individuals on effective pain management techniques for home, which will include ice/heat therapy and stretching exercises. These techniques will help restore the proper alignment and flow of the spinal vertebrae, nerves, and muscle tissues, allowing the body to heal quickly, naturally, and more effectively. Dr. Alex Jimenez’s Blog Post Disclaimer The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico* References Feinberg, Joseph H, and Jeffrey Radecki. “Parsonage-turner syndrome.” HSS journal: the musculoskeletal journal of Hospital for Special Surgery vol. 6,2 (2010): 199-205. doi:10.1007/s11420-010-9176-x
Sacroiliac joint dysfunction is known to cause low back pain, but diagnosing can be hard for some doctors. Especially those that do not have a great deal of experience in sacroiliac joint pain. However, chiropractors specialize in this area as the SI joint is an important part of the musculoskeletal system. SI joint dysfunction and pain can involve one or both joints. Other terms associated with SI joint dysfunction are sacroiliitis or degenerative sacroiliitis. Low back pain may be SI joint-related, so how to start the conversation with your doctor? Things to Remember Before Appointment Diagnosing sacroiliac joint-related pain begins before your first appointment with a doctor or chiropractor. Three things to do before your appointment can help make the visit highly productive. I. Know your medical history - If you have an existing spinal condition, it can definitely affect SI joint dysfunction
- Any recent trauma, like an auto accident or fall?
- Pregnant?
Think about these before, because they can help a doctor identify links or cause of Sacroiliac joint dysfunction. II. Know the symptoms Make it a point to know the symptoms so you can explain them in full detail. If you need to, write them down. Common symptoms: Pain that travels through: - Hips
- Buttocks
- Thighs
- Groin
- Pain when pressing on the Sacroiliac joints
- Stiffness or electrical burning sensations in the pelvis
Know when the symptoms get worse and when they go away. For example: The pain usually increases when: - Standing
- Walking for extended periods
- Climbing stairs
- Getting/rising up from a seated position
And the pain usually goes away when lying down. III. Write down questions for your doctor. Think about what you want your doctor to understand and the pain you are going through. Write down questions and take them with you. This questions could be like: - Is this pain caused by a sacroiliac joint problem?
- Why rule out sacroiliac joint dysfunction?
- How long does it take for the treatment/s to take effect?
- Is the treatment plan for long sustained relief or short-term relief?
The Appointment Ask your doctor to examine you for sacroiliac joint dysfunction. Low back pain research shows the sacroiliac joint, is a definite cause of low back pain. This problem affects 30-34% of patients with low back pain. A doctor can diagnose sacroiliac joint dysfunction based on medical history and a physical exam. The physical exam, which can include performing specific maneuvers/movements to re-create the pain in a controlled manner, to help confirm a diagnosis. Physical tests can initiate sacroiliac joint pain and help diagnose low back pain that is being caused by sacroiliac joint dysfunction. If three out of five tests produce pain, then more than likely you have sacroiliac joint dysfunction. Dialogue with your doctor/chiropractor It’s normal to feel overwhelmed during a doctor's visit, especially if you have a condition that is hard-to-diagnose. Talk with your doctor, their voice should not be the only one heard, this is your body and your health that's at stake. Your information is essential to help with an accurate diagnosis. If your doctor doesn't feel comfortable or feels they don't have enough experience in diagnosing sacroiliac joint pain, then ask for a referral to a spine specialist/chiropractor that is comfortable and does have the experience in diagnosing sacroiliac joint pain. There are a number of treatments for sacroiliac joint dysfunction, including pain medication, epidural steroid injection, and surgery. However, chiropractic care is non-invasive and does not have the unpleasant, sometimes harmful side effects of pain meds. It is safe and effective and treats the entire body instead of just the part that hurts. David Garcia developed low back pain which gradually affected his quality of life. As his painful symptoms worsened, David Garcia was unable to walk and his low back pain became unbearable. He first visited Dr. Alex Jimenez, a chiropractor in El Paso, TX, after a recommendation from his sister. Dr. Jimenez was able to provide David Garcia with the help he deserved for his low back pain, restoring his quality of life. David Garcia describes the wonderful service Dr. Alex Jimenez and his staff have given him to offer him relief from his painful symptoms and he highly recommends chiropractic care as the non-surgical choice for low back pain, among other health issues.
One of the most important exercise tips for chiropractic patients is to take steps to keep your body in alignment as you move through your day. Good practices combined with solid exercises creates toned muscles that protect the body and spine from harm. Your chiropractor will work with you to design an exercise program that is optimal for you. Be sure to follow through with the plan and include these tips in your regular work out to experience the joy of healing from chiropractic care. In the workplace, check with an ergonomics consultant to ensure proper positioning, especially if you spend most of the day seated or doing repetitive tasks. A comfortable chair reduces muscle strain and prevents injury. Make sure that your feet sit firmly on the floor and that lumbar support is in place. At home, you should have a good mattress and supportive furniture. Before starting any exercises, it’s important to warm up. A series of dynamic moves will boost your heart rate and heat up the muscles that you will be using during your work out. Finally, it is important to target large muscle groups with passive exercises.
Exercise is a beneficial part of every individual’s lifestyle to accomplish overall health and wellness but, many athletes often overlook how as their bodies change with age, their workout habits must also change. While many individuals can disagree, changing exercise habits as people age can help prevent injuries while maintaining fitness. Various individuals describe no longer being able to participate in the same strenuous physical activities they were normally capable of. Those same individuals frequently explain how performing the same level of exercise as they did once before has now become difficult, often causing pain and soreness. As we age, it’s not necessary for people to stop exercising altogether, instead, several exercise changes can be made. It’s still important to continue adding activities to your daily routines to help maintain the body strong and flexible. Seeking help from a personal trainer can specifically be beneficial for many people in these cases. A personal trainer will work to determine an individual’s strengths and weaknesses as well as determining the best and least appropriate workouts for everyone to achieve their personal fitness goals while avoiding any possible injuries. Older athletes and people need to focus on building the strength of their muscles as well as making sure their body is getting the appropriate amount of rest it needs to recover. Maintaining a fit, flexible, and injury free body as we age can be achieved by changing your workout routine every day. Using different muscles and joints in different directions in the key to spreading out the force and keeping the body healthy through time.
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Find out how hinge joints work, the conditions that can affect them, and ways to manage pain and improve range of motion. For answers to any questions you may have, call Dr. Jimenez at 915-850-0900 or 915-412-6677