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

Advanced Evaluation of Complex Sciatica

Etiology of Sciatic Nerve Pain

  Sciatica, or sciatic nerve pain, is a collection of symptoms caused by the compression or impingement of the spinal cord and/or nerve roots, due to disk herniation, spinal health issues like osteoarthritis, spondylolisthesis, and spinal stenosis as well as intraspinal tumors and abscesses. Impingement or compression may typically occur along the spinal canal or intervertebral foramen. Health issues associated with the compression or impingement of the spinal cord and/or nerve roots may commonly occur in the lower back, pelvis, or buttocks.   Sciatica Diagram 1 | El Paso, TX Chiropractor  

Sciatica Symptoms

  The common symptoms of sciatic nerve pain include pain and discomfort which radiates along the lower back, down the buttocks and posterior aspect of the leg, into the knee and foot. The painful symptoms may affect one or both lower extremities and it may occur with or without low back pain. The pain and discomfort are described as burning, lancinating, or stabbing. Other common symptoms of sciatica include tingling sensations and numbness anywhere along the length of the sciatic nerve, particularly in the lower extremities.   Coughing or the Valsalva maneuver, a specific way of breathing which increases pressure in the chest, may worsen sciatic nerve pain symptoms. Moreover, the compression or impingement of the spinal cord and nerve roots can cause sensory, motor, or reflex deficits, among other health issues. Symptoms of sciatica may depend on which nerves are affected based on the segmental level of the spine. By way of instance, an L5 to S1 disk herniation may affect the ankle jerk reflex while an L3 to L4 disk herniation may affect the knee jerk reflex.  

Sciatica, or sciatic nerve pain, is a collection of symptoms rather than a single health issue, characterized by radiating pain, tingling sensations, and/or numbness which extends from the lower back and buttocks, down into the legs and feet. Sciatica is generally diagnosed through its symptoms and depending on the type of painful symptoms, a healthcare professional can safely and effective treat sciatic nerve pain. It’s important for patients to understand the symptoms of sciatica in order to continue with a diagnosis and follow-up with the appropriate treatment option. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

  Healthcare professionals have determined that straight leg raising may aggravate pain and discomfort which radiates down the length of the leg when gradually raised above 60 degrees or less. According to numerous research studies, this outcome measure is sensitive to sciatic nerve pain. Painful symptoms radiating down the affected leg when the contralateral leg is lifted, also known as crossed straight leg raising, is more common for sciatica. Furthermore, sciatica can ultimately be diagnosed through a series of tests and evaluations.   The straight leg raise test can be performed while patients are sitting with their hip joints flexed at 90 degrees. Then, their leg is carefully raised until the knee is fully extended. If the patient has sciatica, the painful symptoms will most often manifest as the leg is extended. The slump test can be performed like the straight leg raise test, but while the patient is slumping with the thoracic and lumbar spine flexed as well as the neck flexed. The slump test is more accurate but less specific, for disk herniation than the straight leg raise test.  

Sciatic Nerve Pain Diagnosis

  Sciatica is commonly diagnosed through its characteristic, painful symptoms. Once sciatic nerve pain is diagnosed, healthcare professionals should test a patient’s strength, sensations, and reflexes to determine any possible health issues. If painful symptoms persist for more than 6 weeks, or if there are neurologic deficits, imaging and electrodiagnostic studies should be performed. Structural and functional abnormalities which result in sciatica, such as spinal stenosis, can most accurately be diagnosed through MRI or CT scans.   Imaging and electrodiagnostic studies can help confirm the segmental level of the spinal cord and/or nerve root compression and/or impingement, which can exclude health issues that may mimic sciatica, such as polyneuropathy. These studies may help determine whether single or multiple regions of the spinal cord and/or nerve roots are being affected and whether the diagnosis correlates with MRI abnormalities. Abnormalities may not be obvious on imaging and electrodiagnostic studies for up to a few weeks after symptoms manifest.  

Sciatica Treatment

  Patients with sciatica, or sciatic nerve pain, can achieve relief from their painful symptoms through bed rest in a recumbent position with the head of the bed elevated about 30 degrees, also known as the semi-Fowler position. Treatment for low back pain can include nonopioid analgesics, such as NSAIDs and acetaminophen. Drugs and/or medications which decrease neuropathic pain, such as gabapentin or other anticonvulsants and low-dose tricyclic antidepressants, may also help relieve sciatic nerve pain, or sciatica, signs and symptoms.   Muscle spasm associated with low back pain or sciatica can be relieved through the utilization of heat or cold, physical therapy, and chiropractic care, among other alternative treatment options. Whether corticosteroids should be used to treat acute radicular pain remains controversial. Epidural corticosteroids can help achieve pain relief, however, these should not be utilized unless the patient’s painful symptoms are severe or persistent. Many healthcare professionals may utilize oral corticosteroids for these special occasions.   Surgery for sciatic nerve pain, or sciatica, is only recommended for cauda equina syndrome or for unequivocal disk herniation along with the presence of muscular weakness, progressive neurologic deficit and/or intolerable, intractable pain which interferes with regular physical activities in an emotionally stable patient which has not decreased after 6 weeks of conservative treatments. The standard procedure for sciatica caused by disk herniation is through classic diskectomy with a limited laminotomy. If the disk herniation is localized, a microdiscectomy may be performed, where the skin incision and laminotomy are smaller. Chemonucleolysis, which uses an intradiscal injection of chymopapain, is no longer utilized to help treat sciatic nerve pain.   Sciatica is a collection of symptoms caused by the compression or impingement of the spinal cord and/or nerve roots. Understanding the symptoms of sciatic nerve pain is essential towards obtaining a diagnosis in order to follow up with the best treatment. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 


 

Additional Topic Discussion: Severe Sciatica

 

Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.

 

 


 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

 

XYMOGEN’s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

 

Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

 

Please call our office in order for us to assign a doctor consultation for immediate access.

 

If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.

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For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download

 

* All of the above XYMOGEN policies remain strictly in force.

 


 

Trauma Specialist Testimonies and Case Studies

Why Patients Choose Accidents Specialist to Treat Injuries
By Dr. Alexander Jimenez
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  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

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

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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.

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EL PASO LOCATIONS

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

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

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Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
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El Paso, TX 79905
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El Paso, TX 79905
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