The knee is the largest joint in the human body, where the complex structures of the lower and upper legs come together. Consisting of three bones, the femur, the tibia, and the patella which are surrounded by a variety of soft tissues, including cartilage, tendons and ligaments, the knee functions as a hinge, allowing you to walk, jump, squat or… Read More
Blanca suffered from heel spurs as a result of her occupation as a registered nurse. Her painful symptoms made it challenging for her to accomplish her daily tasks, both in the workplace and in her everyday life. Due to her unbearable heel spurs, Blanca considered finding a new job until she found Dr. Alex Jimenez, doctor of chiropractic. Blanca highly… Read More
Cancer puts a tremendous amount of stress on the body. Cancer treatments add to that stress, affecting the organs as well as the musculoskeletal system. Pain is a common complaint among cancer patients. They experience a variety of aches and pains including headaches, neck pain, muscle tension, and back pain as well as painful peripheral neuropathy. They may also have… Read More
Degenerative Knee Arthritis Knee ArthritisKnee OA (arthrosis) is the m/c symptomatic OA with 240 cases per 100,000, 12.5% of people >45 y.o.Modifiable risk factors: trauma, obesity, lack of fitness, muscle weaknessNon-modifiable: women>men, aging, genetics, race/ethnicityPathology: disease of the articular cartilage. Continuing mechanical stimulation follows by initial increase in water and cartilage thickness. Gradual loss of proteoglycans and ground substance. Fissuring/splitting.… Read More
The tendons are powerful soft tissues which connect the muscles to the bones. One of these tendons, the quadriceps tendon, works together with the muscles found at the front of the thigh in order to straighten the leg. A quadriceps tendon rupture can affect an individual's quality of life. A quadriceps tendon rupture can be a debilitating injury and it… Read More
More than 80% of children will experience at least one ear infection before they turn three-years-old. Ear infection is one of the top reasons that parents seek medical treatment for their children, causing fever, irritability, and ear pain. Also known as otitis media, an ear infection is caused by fluid buildup behind the eardrum that results in inflammation. It is… Read More
Bone Neoplasms Tumor-Like Conditions Bone neoplasms and tumor-like conditions affecting the knee can be benign or malignant. Age at Dx is crucial for DDxIn patients <40: Benign bone neoplasms: Osteochondroma, Enchondroma are relatively frequentFibrous cortical defect (FCD) & Non-ossifying fibroma (NOF) are particularly frequent in childrenGiant cell tumor (GCT) is the m/c benign neoplasm of the knee in patients between… Read More
When dealing with a sports injury or similar type of injury, many people are familiar with the R.I.C.E. protocol for injury care. R.I.C.E. stands for Rest, Ice, Compression, and Elevation and has long been used when treating everything from sprained ankles to banged up knees. With acute injury patients, experts recommend adding “P†for protection because protection of the area… Read More
Meniscal Tears Acute or chronic. Imaged with MRI (95% sensitivity & 81% specificity)Menisci are formed by a composition of radial and circumferential collagen fibers (97% type 1) mixed with cartilage, proteoglycans etc. 65-75% H2OAging can lead to meniscal attritionAcute tears are d/t rotational and compressive forces, ACL deficient knees show greater chances of meniscal tearsPosterior horn of medial meniscus is… Read More
The knee is a made up of a variety of complex soft tissues. Enclosing the knee joint is a fold at its membrane known as the plica. The knee is encapsulated by a fluid-filled structure called the synovial membrane. Three of these capsules, known as the synovial plicae, develop around the knee joint throughout the fetal stage and are absorbed before… Read More
Many people think of joints, bones, and the skeletal system when they think of chiropractic, but in fact, the muscles also play an integral part in supporting the body. The muscles are layers and interwoven work to move and stabilize the spine, facilitate the movement of the body’s joints, and aid in respiration. When there is pain within this system,… Read More
Chondromalacia patellae, also referred to as runner's knee, is a health issue in which the cartilage beneath the patella, or kneecap, becomes soft and ultimately degenerates. This problem is prevalent among young athletes, however, it may also develop in older adults who suffer from arthritis of the knee. Sports injuries like chondromalacia patellae are frequently regarded as an overuse injury. Taking some time… Read More
Tibial Plateau Fractures Impaction type fractures predominateResult from valgus or varus stress with or w/o axial loadingAssociated with periarticular soft tissues injuryHigh stress injury m/c due to jumps, falls and axial loading, often with splitting of tibial plateau. Men>women. Patients are in their 30sLow impact or no trauma in patients with osteoporosis d/t insufficiency fracturesImpaction injury is more common with… Read More
Have you ever had a pain in the neck? And your kids or significant other don’t count. If you’ve ever had a stiff, sore neck then you’ve more than likely experienced cervicalgia. You’re not alone. The American Osteopathic Association estimates that more than 25% of Americans have experienced or chronically experience neck pain. In fact, neck pain is one of… Read More
Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is characterized by the inflammation of the site below the knee where the tendon from the kneecap, or the patellar tendon, attaches to the shinbone, or tibia. Osgood-Schlatter disease occurs during growth spurts when muscles, bones, tendons, and other tissues shift rapidly. Physical activities can place additional stress… Read More
You may have seen professional athletes, dancers, gymnasts, and others who engage in extremely physical activities using a type of tape on various points of their bodies. It is sometimes colored and does not seem to inhibit range of motion. While it looks like tape, or maybe a very fancy bandage, it is actually a highly technical, specialized tape that… Read More
Robert "Bobby" Gomez first visited Dr. Alex Jimenez, doctor of chiropractic, after experiencing back pain due to a pelvic tilt on his hips. Born with cerebral palsy, Bobby always felt underestimated by his peers due to his condition. Thanks to chiropractic care, Robert Gomez received the support he needed to strengthen his body as well as to improve his flexibility… Read More
Sinding-Larsen-Johansson, or SLJ, syndrome is a debilitating knee condition that most commonly affects teens during periods of rapid growth. The kneecap, or patella, is attached to the shinbone, or tibia, from the patellar tendon. The tendon connects to an expansion plate at the bottom of the kneecap throughout growth. Repetitive stress on the patellar tendon can make the growth plate… Read More
Pyogenic Spinal Infection aka Spondylodiscitis and vertebral osteomyelitis overall are relatively infrequent and may present with bimodal distribution: children and adults >50'sOccasionally considered as two separate entities due to variations in blood supply of pediatric vs. adult spinesRisk factors/causes: distant site of infection in the body (25-35%) e.g. oropharynx, urogenital infections, bacterial endocarditis, indwelling catheters, florid skin infections furunculosis/abscess etc.Iatrogenic: operative… Read More