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

Understanding Functional Hallux Limitus

Functional hallux limitus is a differential diagnosis from structural hallux limitus. Functional hallux limitus, or FnHL, is identified by the movement deficiency of the first metatarsophalangeal joint, found between the bones of the foot and of the toes, during gait. The first metatarsophalangeal, or MTP, joint reveals regular movements throughout an open kinetic chain evaluation. Radiographs may demonstrate a tiny amount of dorsal spurring of the joint, however, the joint doesn’t always necessarily demonstrate pervasive degenerative joint disease as an ultimate source of the health issue.  

 

Structural hallux limitus, or SHL, is identified by structural adaptations of the first MTP joint which restrict ordinary movement from happening in the first place. These changes can be acute, with very limited dorsiflexion mobility, )hallux rigidus) or minor, (hallux limitus) leading to small changes in dorsiflexion of the first MTP joint. When normal foot insertion during propulsion is interrupted during MTP joint movement to prevent functioning of the foot construction through maximal hallux dorsiflexion over the effect of the windlass mechanism, the small changes can become considerably significant. In SHL, movement is going to be disrupted during open-and-closed-kinetic string actions. Pain and joint mobility is ultimately connected with any movement of the first metatarsophalangeal, or MTP, joint of the foot and of the toes.  

 

functional and structural diagram | El Paso, TX Chiropractor  

Although the health issue itself is generally considered to be asymptomatic, the signs and symptoms of this condition can also be associated with a variety of other common pathologies of the foot, including heel pain, lesser metatarsal pain, Morton’s neuroma, Achilles tendon pain, and retrocalcaneal enthesitis as well as posterior tibial tendon dysfunction and postural alignment abnormalities of the lower back, or lumbar spine, and the lower extremities, including sciatica. Research studies have demonstrated that the prevalence of the disorder is much higher among the symptomatic population.  

 

Identifying Functional Hallux Limitus

 

Functional hallux limitus is unfortunately still considered to be a rare health issue which often goes unaddressed. Outcomes for many different foot disorders will be jeopardized if treatment doesn’t address functional hallux limitus. Foot and postural abnormalities have a basis in poor function of stabilization and the windlass mechanism of the foot structure through the plantar fascia. By way of instance, if this stabilizing effect is not present, it’s hypothesized that a range of foot disorders may result as normal foot function which cannot be achieved without appropriate purpose of the plantar fascia. Addressing the proper function of the foot has a high level of predictability for healing mechanically induced foot pain and this remains the goal of footbed and shoe modifications as the primary focus of orthotic intervention throughout many years in medicine.  

 

Functional hallux limitus, or FnHL, is commonly diagnosed by a healthcare professional by detecting gait patterns and utilizing pedobarographic evaluations, which often require a qualified and experienced doctor or pricey equipment. The time consuming evaluations are also seldom able to be performed in the clinical setting. These challenges may probably contribute to the underdiagnosis of FnHL, or functional hallux limitus. Moreover, many healthcare professionals have also identified an FnHL evaluation demonstrated by the stiffening of large toe movement when implementing a loading force from the stage of maximal displacement to the first ray, especially when holding the foot and the toes in a neutral position.  

 

When hallux dorsiflexion at the MTP joint is ultimately evaluated, there is a stiffening or bending movement of the MTP joint, when roughly equal power is applied to the hallux as is applied to the first metatarsal head. Healthcare professionals have demonstrated how several evaluations associated with visual gait evaluations have demonstrated that 72 percent of patients with a pronated midtarsal joint also had a positive evaluation for functional hallux limitus. Approximately 66 percent of patients with normal midtarsal joint motion had a negative test result. Healthcare professionals believe this to be a reliable test for the diagnosis of abnormal foot function. These type of evaluation have been conducted on asymptomatic individuals.  

 

Functional Hallux Limitus and Sciatica

 

Functional hallux limitus is often commonly asymptomatic, therefore, it is rarely recognized as the functional inability of the first metatarsophalangeal, or MTP, joint to dorsiflex during gait. Normal movement is present in this joint during non-weight-bearing evaluations. Because the joint controls the pivot from which the entire body moves forward during each step, this disturbance in function, when repeated multiple times on a regular basis, can ultimately affect foot and postural biomechanics. It can also cause and aggravate many underlying health issues, including low back pain and sciatica. When functional hallux limitus is addressed in an orthotic treatment plan, 77 percent of long-term postural problem patients demonstrate 50 percent to 100 percent improvement in their overall health and wellness, among other health issues.  

 

As soon as the diagnosis for FnHL has been made, the healthcare professional is going to want to address this health issue with the best treatment approach. Because this is a fundamental derangement of movement of the first MTP joint, conservative treatment is often successful and can be easily demonstrated in the foot evaluation. Surgery is seldom indicated. This is in contrast to structural hallux limitus, or SHL, which often does require surgical interventions to restore pain-free assortment of motion. FnHL is generally a misalignment of the first MTP joint in which the first metatarsal is dorsally displaced, restricting the average movement of the proximal phalanx in the first metatarsal head. It’s essential for a healthcare professional to accurately diagnose functional hallux limitus to follow-up with the proper treatment.  

 

Because of the multifaceted nature of functional hallux limitus, understanding the health issue is ultimately fundamental for healthcare professionals and patients alike. Fortunately, there are many treatment approaches for functional hallux limitus depending on the nature of the pathology. As described above, functional hallux limitus is demonstrated as a normal range of hallux dorsiflexion during non-weight-bearing, however, there is a considerable decrease in hallux dorsiflexion. Functional hallux limitus has also been demonstrated to cause sciatica. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

 


 

Fibromyalgia Magazine

 

 


 

The purpose of the article was to discuss the differential diagnosis in sciatica with a variety of health issues, including functional hallux limitus as well as structural hallux limitus, among others. Accurate diagnosis and proper treatment are important for the treatment of functional hallux limitus and low back pain or sciatica. 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
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  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
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  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
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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.

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EL PASO LOCATIONS

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

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

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