Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

Determining & Treating the Cause of Knee Pain

Over the years, I have equated what we do as chiropractors during our clinical evaluations to being “diagnosis detectives.” In my practice, evaluating an injury like a detective would examine a crime scene has proven to be one of my most successful clinical habits.

None of our patients comes into our office with a deficiency of low back pain or knee pain that their body then decides to express. It is our job to help identify the underlying reasons for which they incurred such presenting complaints if we are going to have a lasting impact.

On the Case: Knee Pain

If we look specifically at knee pain, we know numerous therapeutic interventions help alleviate the discomfort associated with the plethora of functional and structural disturbances affecting the knee. But should the knee be the main area of focus? When I put my diagnosis detective hat on, I typically see the knee as an area of what I refer to as a “victim zone.” At a crime sce

Over the years, I have equated what we do as chiropractors during our clinical evaluations to being “diagnosis detectives.” In my practice, evaluating an injury like a detective would examine a crime scene has proven to be one of my most successful clinical habits.

None of our patients comes into our office with a deficiency of low back pain or knee pain that their body then decides to express. It is our job to help identify the underlying reasons for which they incurred such presenting complaints if we are going to have a lasting impact.

On the Case: Knee Pain

If we look specifically at knee pain, we know numerous therapeutic interventions help alleviate the discomfort associated with the plethora of functional and structural disturbances affecting the knee. But should the knee be the main area of focus? When I put my diagnosis detective hat on, I typically see the knee as an area of what I refer to as a “victim zone.” At a crime scene, there are victims, criminals and mob bosses, and the sooner you identify the mob bosses who encouraged the criminal actions, creating the victims, the better you will able to solve the case.

I view the human body in the same regard. Many times, the areas of the body our patients come to see us about are really just the victim zones. Unfortunately, too many practitioners focus on victim zones as the target for their treatments. Without taking the time to properly identify the reasons why that area became a victim in the first place, patients can be left with ongoing aches and pains that could have otherwise been resolved.

For example, when looking at the knee, it is one of our largest joints positioned between two of the longest bones in the human body. The knee joint experiences immense transmission of forces through it each day and with each weight-bearing action. Many different criminals can increase the strain experienced by the knee. One such criminal is excessive pronation or supination of the ankle, leading to altered kinetics and kinematics of the knee. Another key criminal is weakness of the hip musculature. The gluteus medius / minimus /maximus can be culprits as well.

Weakness of the gluteal muscles leads to an inability to properly control femoral positioning and most commonly, excessive internal femoral rotation. The uncontrolled internal femoral rotation then leads to excessive torsion at the knee. Torsion at the knee is not a good thing, often resulting in musculotendinous and articular strain or trauma.

The Standing Squat Test

To help identify if this is the case, you can use a simple clinical test called the standing squat. This dynamic movement evaluation helps you identify some kinetic clues as to where the criminals are, so you can better target your therapeutic interventions.

Simply have your patient stand with their feet shoulder-width apart and have them squat as low as they can without letting their heels come off the floor. Did they experience any discomfort? Did they look symmetrical, or did they shift to one side or the other? And if they did shift, did they shift right away or after about 45 degrees of hip flexion? All of these questions help to formulate your clinical hypothesis and build your criminal case.

Many practitioners are beginning to perform dynamic movement evaluations and think of the body as a whole. Let’s evolve our clinical practice to now starting to look for the mob bosses. This helps to answer the all-important question, “Why did the criminals behave the way they did?”

The standing squat test to help identify gluteal weakness causing internal femoral rotation and subsequent excessive torsion at the knee.In the case of looking at a patient presenting with knee pain, you have put them through the squat evaluation, as well as your other clinical examination strategies, and identified that they have weakness in the gluteal muscles leading to excessive femoral internal rotation. Through your physical evaluation, you may have identified trigger points locally in the muscles, as well as articular dysfunction to be treated accordingly.

But one of the most common mob bosses is lack of physical conditioning leading to an inability of the right muscles to do the right thing at the right time. This is extremely common in the gluteal muscles, and is often one of the main contributing factors surrounding knee pain and low back pain, including sacroiliac joint syndrome.

Gluteal Exercises to Help Support the Knee

One of the best ways to support patient care and eliminate the true cause of patients’ presenting complaints (the “mob bosses”) is through exercise. Exercise is one of the most discussed, yet misunderstood nonpharmacologic management strategies for musculoskeletal conditions. I personally believe there isn’t a single patient who couldn’t benefit from the targeted use of exercise. In our knee-pain scenario, exercise can help reinstate proper functioning to crucial muscles charged with helping the body perform the movements of life as efficiently as possible.

So, the next time you are treating chronic, recurrent knee pain and have identified the gluteal muscles as being deficient in their capacity, try prescribing gluteal strengthening exercises the patient can perform at home.

Great training exercises for the gluteal complex include the three-point lunge. This is a great exercise not only to work the gluteal muscles, mainly the gluteus medius and gluteus minimus; but also the quadriceps, including the vastus medialis. The three-point lunge also helps promote better balance and postural control when transitioning from one position to the next.

The gluteal bridge exercise helps activate the gluteal complex while minimizing compressive forces experienced at the knee.Unfortunately, the gluteus maximus doesn’t get enough stimulation with this movement to promote strengthening effects, so you can add a chair step-up to help elicit the proper muscle recruitment. If the patient is having difficulty with movements like the step-up due to knee pain, you can substitute with exercises such as the gluteal bridge with the feet elevated. This will help activate the gluteal complex while minimizing compressive forces experienced at the knee. Once the patient begins to develop the appropriate pelvic stability and you have successfully reduced the localized irritation, you can progress them to the step-up.

Exercise offers a significant advantage when combined with the therapeutic interventions you currently use. As with any of your techniques, therapeutic exercise can be manipulated to target the specific needs of your patients. The inclusion of therapeutic exercise as an intervention as well as looking at your presenting patients as a diagnosis detective, examining presenting injuries like they are crime scene, will provide you with a significant advantage in the quest to help your patients.

Sourced through Scoop.it from: circleofdocs.com

The knee is one of the largest joints positioned between two of the longest bones in the human body. The knee joint experiences immense transmission of forces each day and with weight- bearing action.

Trauma Specialist Testimonies and Case Studies

Why Patients Choose Accidents Specialist to Treat Injuries
By Dr. Alexander Jimenez
1/ 42
  1. 1 Chiropractic Care on Whiplash | El Paso, Tx Chiropractic Care on Whiplash | El Paso, Tx 02:15
  2. 2 Car accident Injury Rehabilitation | El Paso, Tx Car accident Injury Rehabilitation | El Paso, Tx 02:19
  3. 3 *CAR ACCIDENTS* Chiropractor | El Paso, Tx (2019) *CAR ACCIDENTS* Chiropractor | El Paso, Tx (2019) 02:35
  4. 4 Recommended El Paso, TX Chiropractor Recommended El Paso, TX Chiropractor 03:43
  5. 5 Severe Back Pain Chiropractic Treatment El Paso, TX Severe Back Pain Chiropractic Treatment El Paso, TX 04:09
  6. 6 *CHRONIC* Pain Chiropractic Care | El Paso, Tx (2019) *CHRONIC* Pain Chiropractic Care | El Paso, Tx (2019) 02:38
  7. 7 *Car Accident Injury* Chiropractic Solution  |  El Paso, TX (2019) *Car Accident Injury* Chiropractic Solution | El Paso, TX (2019) 02:25
  8. 8 Chronic Pain Chiropractor | El Paso, Tx (2019) Chronic Pain Chiropractor | El Paso, Tx (2019) 02:07
  9. 9 Chiropractic Help on Car Accidents | El Paso, Tx Chiropractic Help on Car Accidents | El Paso, Tx 02:27
  10. 10 *Car Accident Injuries* Treatment  |  El Paso, TX (2019) *Car Accident Injuries* Treatment | El Paso, TX (2019) 02:18
  11. 11 Why Chiropractor for Auto Injuries? | El Paso, Tx Why Chiropractor for Auto Injuries? | El Paso, Tx 02:30
  12. 12 *Neck* Pain Chiropractic Care | El Paso, Tx (2019) *Neck* Pain Chiropractic Care | El Paso, Tx (2019) 02:59
  13. 13 Personal Injury Chiropractic Care | El Paso, Tx (2019) Personal Injury Chiropractic Care | El Paso, Tx (2019) 02:16
  14. 14 Most Effective Chiropractor | El Paso, Tx (2019) Most Effective Chiropractor | El Paso, Tx (2019) 03:16
  15. 15 Personal Injury Lawyers & Chiropractors | El Paso, Tx Personal Injury Lawyers & Chiropractors | El Paso, Tx 02:47
  16. 16 Top Chiropractor Near Me | El Paso, Tx (Best) Top Chiropractor Near Me | El Paso, Tx (Best) 02:29
  17. 17 Chronic Body Pain Recovery | El Paso, Tx Chronic Body Pain Recovery | El Paso, Tx 01:57
  18. 18 Chiropractic Pain Relief | El Paso, Tx Chiropractic Pain Relief | El Paso, Tx 01:56
  19. 19 Quiropractico Recomendado | El Paso, Tx Quiropractico Recomendado | El Paso, Tx 02:11
  20. 20 Most Recommended Chiropractor El Paso, Tx Most Recommended Chiropractor El Paso, Tx 02:04
  21. 21 El Paso, TX Shoulder Pain Chiropractic Treatment El Paso, TX Shoulder Pain Chiropractic Treatment 02:52
  22. 22 El Paso, TX Lower Back Pain Chiropractor Treatment El Paso, TX Lower Back Pain Chiropractor Treatment 05:51
  23. 23 El Paso, TX Chiropractic Treatment for Car Accidents El Paso, TX Chiropractic Treatment for Car Accidents 02:37
  24. 24 El Paso, TX 18 Wheeler Accident Chiropractic Treatment El Paso, TX 18 Wheeler Accident Chiropractic Treatment 02:23
  25. 25 Chiropractic Neck Pain Treatment El Paso, TX Chiropractic Neck Pain Treatment El Paso, TX 02:14
  26. 26 El Paso, TX Chiropractor 79936 El Paso, TX Chiropractor 79936 02:00
  27. 27 Sciatica Pain Treatment in El Paso, TX Chiropractic Care Sciatica Pain Treatment in El Paso, TX Chiropractic Care 01:56
  28. 28 El Paso, TX Chiropractic Care For Auto Accidents El Paso, TX Chiropractic Care For Auto Accidents 03:28
  29. 29 El Paso, TX Chiropractic Care Neck Pain Treatment El Paso, TX Chiropractic Care Neck Pain Treatment 04:47
  30. 30 El Paso, TX Chiropractor Auto Accident Injuries El Paso, TX Chiropractor Auto Accident Injuries 07:00
  31. 31 El Paso, TX Chiropractor New Patient Intake Form El Paso, TX Chiropractor New Patient Intake Form 02:05
  32. 32 Whiplash Chiropractic Massage Therapy El Paso, TX Whiplash Chiropractic Massage Therapy El Paso, TX 01:55
  33. 33 El Paso, TX Cervical Pain Treatment Chiropractic Care El Paso, TX Cervical Pain Treatment Chiropractic Care 05:08
  34. 34 18 Wheeler Accident Pain Treatment Chiropractor El Paso, TX 18 Wheeler Accident Pain Treatment Chiropractor El Paso, TX 02:23
  35. 35 Shoulder Pain Treatment El Paso, TX Chiropractor Shoulder Pain Treatment El Paso, TX Chiropractor 02:49
  36. 36 Back Pain Management El Paso, TX Chiropractor Back Pain Management El Paso, TX Chiropractor 05:51
  37. 37 Car Accident Injury Treatment El Paso, TX Chiropractor Car Accident Injury Treatment El Paso, TX Chiropractor 02:36
  38. 38 Auto Accident Injury Treatment El Paso, TX Auto Accident Injury Treatment El Paso, TX 02:15
  39. 39 Neck Pain Treatment El Paso, TX Chiropractor Neck Pain Treatment El Paso, TX Chiropractor 02:15
  40. 40 Slip And Fall Injury Treatment El Paso, TX Chiropractor Slip And Fall Injury Treatment El Paso, TX Chiropractor 01:55
  41. 41 *CHIROPRACTOR* The Most Recommended | El Paso, Tx (2019) *CHIROPRACTOR* The Most Recommended | El Paso, Tx (2019) 02:19
  42. 42 *CHIROPRACTIC CARE* on Car Accident Injuries | El Paso, Tx (2019) *CHIROPRACTIC CARE* on Car Accident Injuries | El Paso, Tx (2019) 01:54

PUSH-as-Rx ®™ Beyond Rehabilitation For All - No Matter The Age

Again,  We Welcome You 👊🏻.

Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities premier doctors, therapist and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless

EL PASO LOCATIONS

Central:
6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

Call (915) 850-0900 Today!

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
Phone
: (915) 412-6677
EmailSend Email
Webwww.DrAlexJimenez.com

Clinic Location 2

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone: (915) 850-0900
EmailSend Email
Webwww.ElPasoBackClinic.com

Clinic Location 3

Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
Phone: (915) 850-0900
EmailSend Email
Webwww.ChiropracticScientist.com

Push As Rx Crossfit & Rehab

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone
: (915) 412-6677
EmailSend Email
Webwww.PushAsRx.com

Push 24/7

Address: 1700 E Cliff Dr
El Paso, TX 79902
Phone
: (915) 412-6677
EmailSend Email
Webwww.PushAsRx.com

🔴 Rated Top El Paso Doctor & Specialist by ✔️ RateMD* | Years 2014,2015,2016,2017,2018,2019

Top Rated Chiropractor El Paso
Call Now Button