Integrated Telemedicine Care in Chiropractic Practices

Integrated Telemedicine Care: One Team for Your Spine, Joints, and Overall Health

Integrative chiropractic care is changing fast. Today, many clinics combine the skills of a chiropractor and a nurse practitioner (NP) and deliver part of that care through telemedicine. This hybrid, or “blended,” model lets people get expert help for pain and injuries without always having to leave home. It is especially helpful for neck and lower back pain, chronic migraines, sports injuries, osteoarthritis, vertigo, and other long-lasting pain problems.

Below is a guide to the conditions that respond well to this integrated telemedicine approach and how a chiropractor-NP team can safely help.

What Is Integrative Chiropractic Telemedicine?

Integrative chiropractic care means more than just spinal adjustments. It usually includes:

• Chiropractic techniques (spinal and joint adjustments, soft tissue work)

• Medical care from an NP (diagnosis, lab orders, imaging, and medications)

• Supportive therapies (exercise plans, ergonomics, nutrition, stress management)

Telemedicine (or telehealth) uses video visits, phone calls, secure messaging, and remote monitoring to deliver care at a distance. Mayo Clinic notes that telehealth allows people to see providers online for many conditions and to upload health data from home, such as blood pressure or activity levels (Mayo Clinic Staff, n.d.). Mayo Clinic

When you combine both models, you get an integrated, hybrid system:

• The chiropractor focuses on the spine, joints, muscles, and nerves.

• The nurse practitioner addresses medical conditions, orders tests, and manages medications.

• Telemedicine tools connect professionals and patients in real time, even when everyone is in different places.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses this kind of model in his El Paso clinics, combining dual training in chiropractic and family practice to guide complex injury and chronic pain cases through both in-person and virtual care (Jimenez, n.d.). El Paso Back Clinic

How Telemedicine Fits Into Hybrid Care

Telemedicine is not meant to replace hands-on chiropractic care. Instead, it supports it. Research shows that telemedicine and digital health tools are particularly helpful for chronic pain because they enable ongoing assessment, education, and adjustment of treatment plans without frequent office visits (El-Tallawy et al., 2024). PMC

A hybrid integrative clinic can use telemedicine to:

• Triage new pain or injuries and decide if urgent in-person care is needed.

• Review imaging and lab results ordered by the NP.

• Monitor chronic pain, osteoarthritis, and migraines over time.

• Teach home exercises, stretches, and self-care tactics on video.

• Check in after procedures or adjustments and adjust the plan as needed.

The National Academy of Medicine describes hybrid care as the future of chronic pain management, blending telehealth and in-person visits to improve access, safety, and quality (Burstin et al., 2023). NAM

Why a Chiropractor–NP Team Works So Well

When a chiropractor and an NP work together, you get the benefits of both manual and medical care. Integrated clinics such as Comfort Rehab & Chiropractic and Grace Medical Chiropractic demonstrate that combining chiropractic adjustments, physical therapy, and medical support improves outcomes for conditions such as low back pain, headaches, osteoarthritis, and sports injuries (Comfort Rehab & Chiropractic Center, n.d.; Grace Medical Chiropractic, 2024). dallasaccidentandinjuryrehab.com+1

In a typical integrative telemedicine model:

• The NP

  • Reviews full medical history

  • Screens for red-flag symptoms

  • Orders imaging or labs when needed

  • Manages medications (e.g., anti-inflammatories, migraine meds)

• The chiropractor

  • Assesses posture, movement, and joint function

  • Plans hands-on care for in-person visits

  • Design home exercise and mobility programs

• Telemedicine tools

  • Schedule virtual check-ins

  • Track pain scores and function over time

  • Support remote coaching on movement, sleep, stress, and nutrition

Dr. Jimenez’s integrative chiropractic work in El Paso shows that this combined approach is especially powerful for people recovering from car accidents, work injuries, or sports trauma, as musculoskeletal, nerve, and lifestyle issues can be addressed in a coordinated plan (Jimenez, n.d.). El Paso Back Clinic

Conditions Managed Well With This Integrated Telemedicine Approach

1. Neck and Lower Back Pain

Neck and lower back pain are the most common reasons people seek chiropractic care. Integrated clinics report that these problems improve faster when chiropractic care is combined with physical therapy, medical treatment, and home exercise (Grace Medical Chiropractic, 2024; Comfort Rehab & Chiropractic Center, n.d.). Grace Medical Chiro+1

How telemedicine helps:

• Initial video assessment

  • NP and chiropractor ask about pain location, onset, and triggers.

  • Guided movement tests (slow bending, turning, leg lifts) help identify what hurts.

• Care plan design

  • The NP reviews medications and health conditions (like diabetes or blood thinners).

  • The chiropractor plans in-person adjustments if safe and needed.

• Home-based strategies taught virtually

  • Gentle mobility drills and core activation

  • Heat/ice instructions

  • Ergonomic changes for sitting, standing, and sleeping

• Follow-up telemedicine visits

  • Track pain, stiffness, and function

  • Progress exercise difficulty over time

  • Adjust the treatment plan between in-person sessions

Many integrative clinics emphasize that neck and low back pain respond especially well to combined care that includes chiropractic adjustments, strengthening, and medical oversight for inflammation and other health issues (Comfort Rehab & Chiropractic Center, n.d.; Grace Medical Chiropractic, 2024). dallasaccidentandinjuryrehab.com+1

2. Chronic Migraines and Headaches

Migraines are often linked to neck tension and poor posture. Dr. Jimenez’s integrative chiropractic article notes that many migraine sufferers have neck stiffness or pain and that spinal manipulation and soft-tissue work can reduce migraine frequency and intensity (Jimenez, n.d.). El Paso Back Clinic

Telemedicine makes migraine care easier by allowing:

• Remote tracking of symptoms

  • Headache diaries

  • Trigger logs (foods, stress, screen time)

• NP-guided medical care

  • Adjusting preventive and rescue medications

  • Ordering imaging when headaches change or new symptoms appear

• Chiropractic planning and coaching

  • Teaching gentle neck and shoulder stretches

  • Posture and workstation changes to reduce muscle strain

• Lifestyle and nutrition counseling

  • Sleep routines

  • Hydration and anti-inflammatory diet tips

Example telemedicine migraine visit might include:

• Reviewing a headache log and what helped or worsened pain

• Teaching a short routine: chin tucks, shoulder rolls, and upper-back stretches

• Planning a schedule of in-person adjustments if needed

• Checking blood pressure, medication side effects, and red-flag symptoms (vision changes, sudden “worst ever” headache)

3. Sports and Sudden Movement Injuries

Twisting your back while lifting, spraining an ankle during a sprint, or injuring your shoulder during a game are all examples of “sudden movement” injuries. The HealthCoach Clinic telemedicine model highlights that sports and sudden-movement injuries respond well to integrated NP–chiropractor care, including virtual visits and structured rehab (HealthCoach Clinic, 2025). El Paso, TX Health Coach Clinic

Telemedicine is useful in sports injuries because it can:

• Give quick answers about rest vs. activity

• Decide if imaging or urgent in-person care is needed

• Provide early-stage home care plans, such as:

  • Rest, ice, compression, elevation (RICE)

  • Bracing or taping ideas

  • Safe range-of-motion drills

• Support ongoing exercise progressions:

  • From gentle mobility to strength and sport-specific drills

• Coordinate return-to-play decisions between the NP, chiropractor, and coaches

An integrated plan often includes:

• In-person chiropractic adjustments and joint mobilization

• NP-guided pain control and screening for fractures or serious injury

• Video-based exercise coaching to protect the injured area while keeping the rest of the body strong

Dr. Jimenez’s clinics use this model for athletes recovering from both sports injuries and car accidents, blending sports medicine concepts, chiropractic care, and telemedicine touchpoints to prevent re-injury and rebuild performance (Jimenez, n.d.; HealthCoach Clinic, 2025). El Paso Back Clinic+1

4. Chronic Pain and Osteoarthritis

Chronic pain and osteoarthritis (OA) often affect multiple joints and last for years. A large review in Pain and Therapy shows that telemedicine and digital health tools are especially helpful for people with chronic pain who have difficulty reaching the clinic due to mobility, distance, or fatigue (El-Tallawy et al., 2024). PMC

A chiropractor–NP telemedicine team can:

• Assess pain patterns over time

  • Pain scales and function questionnaires

  • Joint-by-joint review of stiffness and swelling

• Adjust medications and supplements (NP role)

  • Anti-inflammatory drugs

  • Nerve pain medications, if needed

• Plan safe movement strategies (chiropractor role)

  • Gentle joint mobilization plans for in-person visits

  • Low-impact exercise routines, like walking, cycling, or pool work

• Teach joint-friendly habits

  • Joint protection tips during work or chores

  • Weight-bearing limits and pacing strategies

Helpful telemedicine tools for chronic pain:

• Video check-ins to stay on track with rehab

• Remote coaching on sleep, diet, and stress management

• Wearables or apps that track steps, heart rate, or activity levels

The National Academy of Medicine emphasizes that hybrid care can improve access and equity for chronic pain and related conditions when telehealth is used thoughtfully alongside in-person visits (Burstin et al., 2023). NAM

5. Vertigo, Dizziness, and Balance Problems

Vertigo and dizziness can be scary and disabling. Integrative chiropractic care can help by addressing neck stiffness, posture, and nerve function, while the NP screens for inner ear, cardiovascular, or neurological causes (Jimenez, n.d.; Grace Medical Chiropractic, 2024). El Paso Back Clinic+1

Telemedicine can support vertigo care by:

• Taking a careful history of spinning, imbalance, falls, and triggers

• Guiding simple eye- and head-movement tests over video

• Teaching:

  • Safe positional changes (for example, getting out of bed slowly)

  • Balance drills, like holding on to a chair while practicing a single-leg stance

  • Neck and upper-back stretches to reduce stiffness

The NP can also order imaging or refer to neurology or ENT if red-flag signs appear (such as severe headache, double vision, slurred speech, or weakness). The chiropractor can plan in-person visits to use specific techniques to improve neck mobility and posture once serious medical causes are ruled out.

6. Work, Car Accident, and Personal Injury Cases

Many people find integrative telemedicine especially valuable after motor vehicle accidents, workplace injuries, or slips and falls.

Clinics like El Paso Back Clinic describe how integrative chiropractic care can manage pain from work, sports, and personal injuries through a mix of adjustments, soft-tissue care, acupuncture, exercise, and lifestyle support (Jimenez, n.d.). El Paso Back Clinic

Telemedicine in personal injury care can:

• Capture detailed injury histories soon after the event

• Review emergency room reports and imaging

• Track healing and function for insurance or legal documentation

• Provide ongoing coaching on:

  • Safe return to work or driving

  • Gradual activity progression

  • Sleep and stress management during recovery

Dr. Jimenez’s dual role as chiropractor and NP allows him to coordinate imaging, diagnostic testing, and specialized musculoskeletal care while using telemedicine to maintain close follow-up with injured patients who may struggle with transportation or pain flare-ups between visits (Jimenez, n.d.; HealthCoach Clinic, 2025). El Paso Back Clinic+1

What a Typical Integrated Telemedicine Visit Looks Like

HealthCoach Clinic’s connected-care model outlines how a good telemedicine visit is structured rather than casual (HealthCoach Clinic, 2025). El Paso, TX Health Coach Clinic

Before the visit

• Online forms covering:

  • Injury or pain details

  • Past medical and injury history

  • Medications and supplements

• Uploaded ER or urgent care records

• Pain and function questionnaires

During the video visit

• The NP and/or chiropractor:

  • Review symptoms and goals

  • Observe posture and movement on camera

  • Ask you to perform simple, safe tests (like bending or turning)

• They may:

  • Share your imaging screen to explain findings

  • Demonstrate exercises and ask you to copy them

  • Talk about diet, sleep, and stress

After the visit

• You receive:

  • A written plan with exercises and self-care steps

  • Medication or supplement instructions (if prescribed by the NP)

  • The next in-person or virtual appointment date

Benefits of This Hybrid Approach for Patients

Based on clinical practice and the research on hybrid care, the main benefits include:

• Better access

  • Helpful for people who live far from the clinic or have limited mobility.

• More consistent follow-up

  • Easier to attend short video visits than travel for every check-in.

• Team-based decision making

  • The chiropractor and NP coordinate care so nothing falls through the cracks.

• Whole-person focus

  • Pain is addressed along with sleep, mood, stress, and lifestyle.

• Patient empowerment

  • Virtual coaching and education help patients take an active role in healing (El-Tallawy et al., 2024; Burstin et al., 2023). PMC+1

Many integrative clinics, including those led by Dr. Jimenez, highlight that combining chiropractic care, medical guidance, physical therapy, and lifestyle changes offers better long-term results than using a single treatment alone (Jimenez, n.d.; Grace Medical Chiropractic, 2024). El Paso Back Clinic+1

Safety, Limits, and When In-Person Care Is Needed

Telemedicine has clear strengths but also limits. Hands-on spinal adjustments, certain neurological exams, and many imaging procedures must still be done in person.

Telemedicine is not enough by itself if you have:

• Sudden, severe headache or “worst ever” pain

• Chest pain or trouble breathing

• New weakness, numbness, or trouble speaking

• Loss of bladder or bowel control with back pain

• Recent major trauma (like a high-speed crash or fall from height)

In these cases, the NP will usually direct you to urgent in-person or emergency care. Hybrid care guidelines emphasize that safety, quality, and patient preferences should guide whether a visit is virtual or in person (Burstin et al., 2023; Mayo Clinic Staff, n.d.). NAM+1

How to Get the Most Out of Integrative Telemedicine

If you are considering this kind of care, here are practical tips:

• Prepare before your visit

  • Write down symptoms, questions, and medications.

  • Test your camera, microphone, and internet.

• Set up your space

  • Quiet, private room with enough space to stand and move.

  • Wear clothes that let you move freely.

• Be ready to move

  • Your chiropractor may ask you to bend, turn, or walk on camera.

• Ask questions

  • “What can I safely do at home?”

  • “When should I come in for hands-on care?”

  • “What are my red-flag symptoms?”

Integrated teams like Dr. Jimenez’s often also provide educational articles, exercise videos, and nutrition guidance through patient portals or clinic websites, helping you stay engaged between visits (Jimenez, n.d.; HealthCoach Clinic, 2025). El Paso Back Clinic+1

Conclusion

An integrative chiropractic–nurse practitioner telemedicine model is a powerful way to manage many common conditions, especially:

• Neck and lower back pain

• Chronic migraines and headaches

• Sports and sudden movement injuries

• Chronic pain and osteoarthritis

• Vertigo, dizziness, and balance issues

• Work, car accident, and other personal injuries

By combining a chiropractor’s manual skills, an NP’s diagnostic and prescribing tools, and the convenience of telemedicine, patients can receive safe, coordinated, and personalized care—often with better long-term outcomes and fewer barriers.

References

Burstin, H., Clark, K. J., Duff, N., Dopp, A. L., Bentley, E., Wattenberg, S., … Eaton, E. (2023). Integrating telehealth and traditional care in chronic pain management and substance use disorder treatment: An action agenda for building the future state of hybrid care. National Academy of Medicine.

Comfort Rehab & Chiropractic Center. (n.d.). Integrating chiropractic care with other treatments.

El-Tallawy, S. N., Pergolizzi, J. V., Vasiliu-Feltes, I., Ahmed, R. S., LeQuang, J. K., Alzahrani, T., … Nagiub, M. S. (2024). Innovative applications of telemedicine and other digital health solutions in pain management: A literature review. Pain and Therapy, 13(4), 791–812.

El Paso Back Clinic (Jimenez, A.). (n.d.). Integrative chiropractic care benefits in El Paso.

Grace Medical Chiropractic. (2024, October 22). Why combining different treatments works better.

HealthCoach Clinic. (2025). Connected care: Telemedicine and patient convenience.

Jimenez, A. (n.d.). Dr. Alex Jimenez – Functional medicine & chiropractic insights.

Mayo Clinic Staff. (n.d.). Telehealth: Technology meets health care. Mayo Clinic.