El Paso's Scientific 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

Non-Invasive Treatment Modalities for Back Pain

Attributed from a personal perspective, as a practicing chiropractor with experience on a variety of spinal injuries and conditions, back pain is one of the most common health issues reported among the general population, affecting about 8 out of 10 individuals at some point throughout their lives. While many different types of treatments are currently available to help improve the symptoms of back pain, health care based on clinical and experimental evidence has caused an impact on the type of treatment individuals will receive for their back pain. Many patients in health care are turning to non-invasive treatment modalities for their back pain as a result of growing evidence associated with its safety and effectiveness.

 

On a further note, non-invasive treatment modalities are defined as conservative procedures which do not require incision into the body, where no break in the skin is created and there is no contact with the mucosa or internal body cavity beyond a natural or artificial body orifice, or the removal of tissue. The clinical and experimental methods and results of a variety of non-invasive treatment modalities on back pain have been described and discussed in detail below.

 

Abstract

 

At present, there is an increasing international trend towards evidence-based health care. The field of low back pain (LBP) research in primary care is an excellent example of evidence-based health care because there is a huge body of evidence from randomized trials. These trials have been summarized in a large number of systematic reviews. This paper summarizes the best available evidence from systematic reviews conducted within the framework of the Cochrane Back Review Group on non-invasive treatments for non-specific LBP. Data were gathered from the latest Cochrane Database of Systematic Reviews 2005, Issue 2. The Cochrane reviews were updated with additional trials, if available. Traditional NSAIDs, muscle relaxants, and advice to stay active are effective for short-term pain relief in acute LBP. Advice to stay active is also effective for long-term improvement of function in acute LBP. In chronic LBP, various interventions are effective for short-term pain relief, i.e. antidepressants, COX2 inhibitors, back schools, progressive relaxation, cognitive–respondent treatment, exercise therapy, and intensive multidisciplinary treatment. Several treatments are also effective for short-term improvement of function in chronic LBP, namely COX2 inhibitors, back schools, progressive relaxation, exercise therapy, and multidisciplinary treatment. There is no evidence that any of these interventions provides long-term effects on pain and function. Also, many trials showed methodological weaknesses, effects are compared to placebo, no treatment or waiting list controls, and effect sizes are small. Future trials should meet current quality standards and have adequate sample size.

 

Keywords: Non-specific low back pain, Non-invasive treatment, Primary care, Effectiveness, Evidence review

 

Introduction

 

Low back pain is most commonly treated in primary health care settings. Clinical management of acute as well as chronic low back pain (LBP) varies substantially among health care providers. Also, many different primary health care professionals are involved in the management of LBP, such as general practitioners, physical therapists, chiropractors, osteopaths, manual therapists, and others. There is a need to increase consistency in the management of LBP across professions.

 

At present, there is an increasing international trend towards evidence-based health care. Within the framework of evidence-based health care, clinicians should conscientiously, explicitly, and judiciously use the best current evidence in making decisions about the care of individual patients. The field of LBP research in primary care is an excellent example of evidence-based health care because there is a huge body of evidence. At present, more than 500 randomized controlled trials (RCTs) have been published, evaluating all types of conservative and alternative treatments for LBP that are commonly used in primary care. These trials have been summarized in a large number of systematic reviews. The Cochrane Back Review Group (CBRG) offers a framework for conducting and publishing systematic reviews in the fields of back and neck pain. However, method guidelines have also been developed and published by the CBRG to improve the quality of reviews in this field and to facilitate comparison across reviews and enhance consistency among reviewers. This paper summarizes the best available evidence from systematic reviews conducted within the framework of the CBRG on non-invasive treatments for non-specific LBP.

 

Objectives

 

To determine the effectiveness of non-invasive (pharmaceutical and non-pharmaceutical) interventions compared to placebo (or sham treatment, no intervention and waiting list control) or other interventions for acute, subacute, and chronic non-specific LBP. Trials comparing various types of the same interventions (e.g. various types of NSAIDs or various types of exercises) were excluded. The evidence on complementary and alternative medicine interventions (acupuncture, botanical medicines, massage, and neuroreflexotherapy) has been published elsewhere. Evidence on surgical and other invasive interventions for LBP will be presented in another paper in the same issue of the European Spine Journal.

 

Methods

 

The results of systematic reviews conducted within the framework of the CBRG were used. Most of these reviews were published, but preliminary results from one Cochrane review on patient education (A. Engers et al., submitted for publication) that has been submitted for publication were also used. Because no Cochrane review was available, we used two recently published systematic reviews for the evidence summary on antidepressants. The Cochrane review on work conditioning, work hardening, and functional restoration was not taken into account because all trials included in this review were also included in the reviews on exercise therapy and multidisciplinary treatment. The Cochrane reviews were updated with additional trials, if available, using Clinical Evidence as source (www.clinicalevidence.com). This manuscript consists of two parts: one on evidence of pharmaceutical interventions and the other on evidence of non-pharmaceutical interventions for non-specific LBP.

 

Search Strategy and Study Selection

 

The following search strategy was used in the Cochrane reviews:

 

  1. A computer aided search of the Medline and Embase databases since their beginning.
  2. A search of the Cochrane Central Register of Controlled Trials (Central).
  3. Screening references given in relevant systematic reviews and identified trials.
  4. Personal communication with content experts in the field.

 

Two reviewers independently applied the inclusion criteria to select the potentially relevant trials from the titles, abstracts, and keywords of the references retrieved by the literature search. Articles for which disagreement existed, and articles for which title, abstract, and keywords provided insufficient information for a decision on selection were obtained to assess whether they met the inclusion criteria. A consensus method was used to resolve disagreements between the two reviewers regarding the inclusion of studies. A third reviewer was consulted if disagreements were not resolved in the consensus meeting.

 

Inclusion Criteria

 

Study design. RCTs were included in all reviews.

 

Participants. Participants of trials that were included in the systematic reviews usually had acute (less than 6 weeks), subacute (6–12 weeks), and/or chronic (12 weeks or more) LBP. All reviews included patients with non-specific LBP.

 

Interventions. All reviews included one specific intervention. Typically any comparison group was allowed, but comparisons with no treatment/placebo/waiting list controls and other interventions were separately presented.

 

Outcomes. The outcome measures included in the systematic reviews were outcomes of symptoms (e.g. pain), overall improvement or satisfaction with treatment, function (e.g. back-specific functional status), well-being (e.g. quality of life), disability (e.g. activities of daily living, work absenteeism), and side effects. Results were separately presented for short-term and long-term follow-up.

 

Methodological Quality Assessment

 

In most reviews, the methodological quality of trials included in the reviews was assessed using the criteria recommended by the CBRG. The studies were not blinded for authors, institutions, or the journals in which the studies were published. The criteria were: (1) adequate allocation concealment, (2) adequate method of randomization, (3) similarity of baseline characteristics, (4) blinding of patients, (5) blinding of care provider, (6) equal co-interventions, (7) adequate compliance, (8) identical timing of outcome assessment, (9) blinded outcome assessment, (10) withdrawals and drop outs adequate, and (11) intention-to-treat analysis. All items were scored as positive, negative, or unclear. High quality was typically defined as fulfilling 6 or more of the 11 quality criteria. We refer readers to the original Cochrane reviews for details of the quality of trials.

 

Data Extraction

 

The data that were extracted and presented in tables included characteristics of participants, interventions, outcomes, and results. We refer readers to the original Cochrane reviews for summaries of trial data.

 

Data Analysis

 

Some reviews conducted a meta-analysis using statistical methods to analyse and summarize the data. If relevant valid data were lacking (data were too sparse or of inadequate quality) or if data were statistically too heterogeneous (and the heterogeneity could not be explained), statistical pooling was avoided. In these cases, reviewers performed a qualitative analysis. In the qualitative analyses, various levels of evidence were used that took into account the participants, interventions, outcomes, and methodological quality of the original studies. If only a subset of available trials provided sufficient data for inclusion in a meta-analysis (e.g. only some trials reported standard deviations), both a quantitative and qualitative analysis was used.

 

Dr. Alex Jimenez’s Insight

The purpose of the following research study was to determine which of the various non-invasive treatment modalities used could be safe and most effective towards the prevention, diagnosis and treatment of acute, subacute and chronic non-specific low back pain, as well as general back pain. All of the systematic reviews included participants with some type of non-specific low back pain, or LBP, where each received health care for one specific intervention. The outcome measures included in the systematic reviews were based on symptoms, overall improvement or satisfaction with treatment, function, well-being, disability and side effects. The data of the results was extracted and presented in Tables 1 and 2. The researchers of the study performed a qualitative analysis of all the presented clinical and experimental data before demonstrating it in this article. As a healthcare professional, or patient with back pain, the information in this research study may help determine which non-invasive treatment modality should be considered to achieve the desired recovery outcome measures.

 

Results

 

Pharmaceutical Interventions

 

Antidepressants

 

There are three reasons for using antidepressants in the treatment of LBP. The first reason is that chronic LBP patients often also cope with depression, and treatment with antidepressants may elevate mood and increase pain tolerance. Second, many antidepressant drugs are sedating, and it has been suggested that part of their value for managing chronic pain syndromes simply could be improving sleep. The third reason for the use of antidepressants in chronic LBP patients is their supposed analgesic action, which occurs at lower doses than the antidepressant effect.

 

Effectiveness of antidepressants for acute LBP No trials were identified.

 

Effectiveness of antidepressants for chronic LBP Antidepressants versus placebo. We found two systematic reviews including a total of nine trials. One review found that antidepressants significantly increased pain relief compared with placebo but found no significant difference in functioning [pain: standardized mean difference (SMD) 0.41, 95% CI 0.22–0.61; function: SMD 0.24, 95% CI -0.21 to +0.69]. The other review did not statistically pool data but had similar results.

 

Adverse effects Adverse effects of antidepressants include dry mouth, drowsiness, constipation, urinary retention, orthostatic hypotension, and mania. One RCT found that the prevalence of dry mouth, insomnia, sedation, and orthostatic symptoms was 60–80% with tricyclic antidepressants. However, rates were only slightly lower in the placebo group and none of the differences were significant. In many trials, the reporting of side effects was insufficient.

 

Muscle Relaxants

 

The term ‘muscle relaxants‚ is very broad and includes a wide range of drugs with different indications and mechanisms of action. Muscle relaxants can be divided into two main categories: antispasmodic and antispasticity medications.

 

Antispasmodics are used to decrease muscle spasm associated with painful conditions such as LBP. Antispasmodics can be subclassified into benzodiazepines and non-benzodiazepines. Benzodiazepines (e.g. diazepam, tetrazepam) are used as anxiolytics, sedatives, hypnotics, anticonvulsants, and/or skeletal muscle relaxants. Non-benzodiazepines include a variety of drugs that can act at the brain stem or spinal cord level. The mechanisms of action with the central nervous system are still not completely understood.

 

Antispasticity medications are used to reduce spasticity that interferes with therapy or function, such as in cerebral palsy, multiple sclerosis, and spinal cord injuries. The mechanism of action of the antispasticity drugs with the peripheral nervous system (e.g. dantrolene sodium) is the blockade of the sarcoplasmic reticulum calcium channel. This reduces calcium concentration and diminishes actin–myosin interaction.

 

Effectiveness of muscle relaxants for acute LBP Benzodiazepines versus placebo. One study showed that there is limited evidence (one trial; 50 people) that an intramuscular injection of diazepam followed by oral diazepam for 5 days is more effective than placebo for patients with acute LBP on short-term pain relief and better overall improvement, but is associated with substantially more central nervous system side effects.

 

Non-benzodiazepines versus placebo. Eight studies were identified. One high quality study on acute LBP showed that there is moderate evidence (one trial; 80 people) that a single intravenous injection of 60 mg orphenadrine is more effective than placebo in immediate relief of pain and muscle spasm for patients with acute LBP.

 

Three high quality and one low quality trial showed that there is strong evidence (four trials; 294 people) that oral non-benzodiazepines are more effective than placebo for patients with acute LBP on short-term pain relief, global efficacy, and improvement of physical outcomes. The pooled RR and 95% CIs for pain intensity was 0.80 (0.71–0.89) after 2–4 days (four trials; 294 people) and 0.58 (0.45–0.76) after 5–7 days follow-up (three trials; 244 people). The pooled RR and 95% CIs for global efficacy was 0.49 (0.25–0.95) after 2–4 days (four trials; 222 people) and 0.68 (0.41–1.13) after 5–7 days follow-up (four trials; 323 people).

 

Antispasticity drugs versus placebo. Two high quality trials showed that there is strong evidence (two trials; 220 people) that antispasticity muscle relaxants are more effective than placebo for patients with acute LBP on short-term pain relief and reduction of muscle spasm after 4 days. One high quality trial also showed moderate evidence on short-term pain relief, reduction of muscle spasm, and overall improvement after 10 days.

 

Effectiveness of muscle relaxants for chronic LBP Benzodiazepines versus placebo. Three studies were identified. Two high quality trials on chronic LBP showed that there is strong evidence (two trials; 222 people) that tetrazepam 50 mg t.i.d. is more effective than placebo for patients with chronic LBP on short-term pain relief and overall improvement. The pooled RRs and 95% CIs for pain intensity were 0.82 (0.72–0.94) after 5–7 days follow-up and 0.71 (0.54–0.93) after 10–14 days. The pooled RR and 95% CI for overall improvement was 0.63 (0.42–0.97) after 10–14 days follow-up. One high quality trial showed that there is moderate evidence (one trial; 50 people) that tetrazepam is more effective than placebo on short-term decrease of muscle spasm.

 

Non-benzodiazepines versus placebo. Three studies were identified. One high quality trial showed that there is moderate evidence (one trial; 107 people) that flupirtin is more effective than placebo for patients with chronic LBP on short-term pain relief and overall improvement after 7 days, but not on reduction of muscle spasm. One high quality trial showed that there is moderate evidence (one trial; 112 people) that tolperisone is more effective than placebo for patients with chronic LBP on short-term overall improvement after 21 days, but not on pain relief and reduction of muscle spasm.

 

Adverse effects Strong evidence from all eight trials on acute LBP (724 people) showed that muscle relaxants are associated with more total adverse effects and central nervous system adverse effects than placebo, but not with more gastrointestinal adverse effects; RRs and 95% CIs were 1.50 (1.14–1.98), 2.04 (1.23–3.37), and 0.95 (0.29–3.19), respectively. The most commonly and consistently reported adverse events involving the central nervous system were drowsiness and dizziness. For the gastrointestinal tract this was nausea. The incidence of other adverse events associated with muscle relaxants was negligible.

 

NSAIDs

 

The rationale for the treatment of LBP with NSAIDs is based both on their analgesic potential and their anti-inflammatory action.

 

Effectiveness of NSAIDs for acute LBP NSAIDs versus placebo. Nine studies were identified. Two studies reported on LBP without radiation, two on sciatica, and the other five on a mixed population. There was conflicting evidence that NSAIDs provide better pain relief than placebo in acute LBP. Six of the nine studies which compared NSAIDs with placebo for acute LBP reported dichotomous data on global improvement. The pooled RR for global improvement after 1 week using the fixed effects model was 1.24 (95% CI 1.10–1.41), indicating a statistically significant effect in favour of NSAIDs compared to placebo. The pooled RR (three trials) for analgesic use using the fixed effects model was 1.29 (95% CI 1.05–1.57), indicating significantly less use of analgesics in the NSAIDs group.

 

NSAIDs versus paracetamol/acetaminophen. There were no differences between NSAIDs and paracetamol reported in two studies, but one study reported better outcomes for two of the four types of NSAIDs. There is conflicting evidence that NSAIDs are more effective than paracetamol for acute LBP.

 

NSAIDs versus other drugs. Six studies reported on acute LBP, of which five did not find any differences between NSAIDs and narcotic analgesics or muscle relaxants. Group sizes in these studies ranged from 19 to 44 and, therefore, these studies simply may have lacked power to detect a statistically significant difference. There is moderate evidence that NSAIDs are not more effective than other drugs for acute LBP.

 

Effectiveness of NSAIDs for chronic LBP NSAIDs versus placebo. One small cross-over study (n=37) found that naproxen sodium 275 mg capsules (two capsules b.i.d.) decreased pain more than placebo at 14 days.

 

COX2 inhibitors versus placebo. Four additional trials were identified. There is strong evidence that COX2 inhibitors (etoricoxib, rofecoxib and valdecoxib) decreased pain and improved function compared with placebo at 4 and 12 weeks, but effects were small.

 

Adverse effects NSAIDs may cause gastrointestinal complications. Seven of the nine studies which compared NSAIDs with placebo for acute LBP reported data on side effects. The pooled RR for side effects using the fixed effects model was 0.83 (95% CI 0.64–1.08), indicating no statistically significant difference. One systematic review of the harms of NSAIDs found that ibuprofen and diclofenac had the lowest gastrointestinal complication rate, mainly because of the low doses used in practice (pooled OR for adverse effects vs. placebo 1.30, 95% CI 0.91–1.80). COX2 inhibitors have been shown to have less gastrointestinal side effects in osteoarthritis and rheumatoid arthritis studies. However, increased cardiovascular risk (myocardial infarction and stroke) has been reported with long-term use.

 

Non-Pharmaceutical Interventions

 

Advice to Stay Active

 

Effectiveness of advice to stay active for acute LBP Stay active versus bed rest. The Cochrane review found four studies that compared advice to stay active as single treatment with bed rest. One high quality study showed that advice to stay active significantly improved functional status and reduced sick leave after 3 weeks compared with advice to rest in bed for 2 days. It also found a significant reduction of pain intensity in favour of the stay active group at intermediate follow-up (more than 3 weeks). The low quality studies showed conflicting results. The additional trial (278 people) found no significant differences in pain intensity and functional disability between advice to stay active and bed rest after 1 month. However, it found that advice to stay active significantly reduced sick leave compared with bed rest up to day 5 (52% with advice to stay active vs. 86% with bed rest; P<0.0001).

 

Stay active versus exercise. One trial found short-term improvement in functional status and reduction in sick leave in favour of advice to stay active. A significant reduction in sick leave in favour of the stay active group was also reported at long-term follow-up.

 

Effectiveness of advice to stay active for chronic LBP No trials identified.

 

Adverse effects No trials reported side effects.

 

Back Schools

 

The original ‘Swedish back school’ was introduced by Zachrisson Forsell in 1969. It was intended to reduce the pain and prevent recurrences. The Swedish back school consisted of information on the anatomy of the back, biomechanics, optimal posture, ergonomics, and back exercises. Four small group sessions were scheduled during a 2-week period, with each session lasting 45 min. The content and length of back schools has changed and appears to vary widely today.

 

Effectiveness of back schools for acute LBP Back schools versus waiting list controls or ‘placebo’ interventions. Only one trial compared back school with placebo (shortwaves at the lowest intensity) and showed better short-term recovery and return to work for the back school group. No other short- or long-term differences were found.

 

Back schools versus other interventions. Four studies (1,418 patients) showed conflicting evidence on the effectiveness of back schools compared to other treatments for acute and subacute LBP on pain, functional status, recovery, recurrences, and return to work (short-, intermediate-, and long-term follow-up).

 

Effectiveness of back schools for chronic LBP Back schools versus waiting list controls or ‘placebo’ interventions. There is conflicting evidence (eight trials; 826 patients) on the effectiveness of back schools compared to waiting list controls or placebo interventions on pain, functional status, and return to work (short-, intermediate-, and long-term follow-up) for patients with chronic LBP.

 

Back schools versus other treatments. Six studies were identified comparing back schools with exercises, spinal or joint manipulation, myofascial therapy, and some kind of instructions or advice. There is moderate evidence (five trials; 1,095 patients) that a back school is more effective than other treatments for patients with chronic LBP for pain and functional status (short- and intermediate-term follow-up). There is moderate evidence (three trials; 822 patients) that there is no difference in long-term pain and functional status.

 

Adverse effects None of the trials reported any adverse effects.

 

Bed Rest

 

One rationale for bed rest is that many patients experience relief of symptoms in a horizontal position.

 

Effectiveness of bed rest for acute LBP Twelve trials were included in the Cochrane review. Some trials were on a mixed population of patients with acute and chronic LBP or on a population of patients with sciatica.

 

Bed rest versus advice to stay active. Three trials (481 patients) were included in this comparison. The results of two high quality trials showed small but consistent and significant differences in favour of staying active, at 3- to 4-week follow-up [pain: SMD 0.22 (95% CI 0.02–0.41); function: SMD 0.31 (95% CI 0.06–0.55)], and at 12-week follow-up [pain: SMD 0.25 (95% CI 0.05–0.45); function: SMD 0.25 (95% CI 0.02–0.48)]. Both studies also reported significant differences in sick leave in favour of staying active. There is strong evidence that advice to rest in bed is less effective than advice to stay active for reducing pain and improving functional status and speeding-up return to work.

 

Bed rest versus other interventions. Three trials were included. Two trials compared advice to rest in bed with exercises and found strong evidence that there was no difference in pain, functional status, or sick leave at short- and long-term follow-up. One study found no difference in improvement on a combined pain, disability, and physical examination score between bed rest and manipulation, drug therapy, physiotherapy, back school, or placebo.

 

Short bed rest versus longer bed rest. One trial in patients with sciatica reported no significant difference in pain intensity between 3 and 7 days of bed rest, measured 2 days after the end of treatment.

 

Effectiveness of bed rest for chronic LBP There were no trials identified.

 

Adverse effects No trials reported adverse effects.

 

Behavioural Treatment

 

The treatment of chronic LBP not only focuses on removing the underlying organic pathology, but also tries to reduce disability through the modification of environmental contingencies and cognitive processes. In general, three behavioural treatment approaches can be distinguished: operant, cognitive, and respondent. Each of these approaches focus on the modification of one of the three response systems that characterize emotional experiences: behaviour, cognition, and physiological reactivity.

 

Operant treatments include positive reinforcement of healthy behaviours and consequent withdrawal of attention towards pain behaviours, time-contingent instead of pain-contingent pain management, and spousal involvement. The operant treatment principles can be applied by all health care disciplines involved with the patient.

 

Cognitive treatment aims to identify and modify patients’ cognitions regarding their pain and disability. Cognition (the meaning of pain, expectations regarding control over pain) can be modified directly by cognitive restructuring techniques (such as imagery and attention diversion), or indirectly by the modification of maladaptive thoughts, feelings, and beliefs.

 

Respondent treatment aims to modify the physiological response system directly, e.g. by reduction of muscular tension. Respondent treatment includes providing the patient with a model of the relationship between tension and pain, and teaching the patient to replace muscular tension by a tension-incompatible reaction, such as the relaxation response. Electromyographic (EMG) biofeedback, progressive relaxation, and applied relaxation are frequently used.

 

Behavioural techniques are often applied together as part of a comprehensive treatment approach. This so-called cognitive–behavioural treatment is based on a multidimensional model of pain that includes physical, affective, cognitive, and behavioural components. A large variety of behavioural treatment modalities are used for chronic LBP because there is no general consensus about the definition of operant and cognitive methods. Furthermore, behavioural treatment often consists of a combination of these modalities or is applied in combination with other therapies (such as medication or exercises).

 

Effectiveness of behavioural therapy for acute LBP One RCT (107 people) identified by the review found that cognitive–behavioural therapy reduced pain and perceived disability after 9–12 months compared with traditional care (analgesics plus back exercises until pain had subsided).

 

Effectiveness of behavioural therapy for chronic LBP Behavioural treatment versus waiting list controls. There is moderate evidence from two small trials (total of 39 people) that progressive relaxation has a large positive effect on pain (1.16; 95% CI 0.47–1.85) and behavioural outcomes (1.31; 95% CI 0.61–2.01) in the short-term. There is limited evidence that progressive relaxation has a positive effect on short-term back-specific and generic functional status.

 

There is moderate evidence from three small trials (total of 88 people) that there is no significant difference between EMG biofeedback and waiting list control on behavioural outcomes in the short-term. There is conflicting evidence (two trials; 60 people) on the effectiveness of EMG versus waiting list control on general functional status.

 

There is conflicting evidence from three small trials (total of 153 people) regarding the effect of operant therapy on short-term pain intensity, and moderate evidence that there is no difference [0.35 (95% CI -0.25 to 0.94)] between operant therapy and waiting list control for short-term behavioural outcomes. Five studies compared combined respondent and cognitive therapy with waiting list controls. There is strong evidence from four small trials (total of 134 people) that combined respondent and cognitive therapy has a medium sized, short-term positive effect on pain intensity. There is strong evidence that there are no differences [0.44 (95% CI -0.13 to 1.01)] on short-term behavioural outcomes.

 

Behavioural treatment versus other interventions. There is limited evidence (one trial; 39 people) that there are no significant differences between behavioural treatment and exercise on pain intensity, generic functional status and behavioural outcomes, either post-treatment, or at 6- or 12-month follow-up.

 

Adverse effects None reported in the trials.

 

Exercise Therapy

 

Exercise therapy is a management strategy that is widely used in LBP; it encompasses a heterogeneous group of interventions ranging from general physical fitness or aerobic exercise, to muscle strengthening, to various types of flexibility and stretching exercises.

 

Effectiveness of exercise therapy for acute LBP Exercise versus no treatment. The pooled analysis failed to show a difference in short-term pain relief between exercise therapy and no treatment, with an effect of -0.59 points/100 (95% CI -12.69 to 11.51).

 

Exercise versus other interventions. Of 11 trials involving 1,192 adults with acute LBP, 10 had non-exercise comparisons. These trials provide conflicting evidence. The pooled analysis showed that there was no difference at the earliest follow-up in pain relief when compared to other conservative treatments: 0.31 points (95% CI -0.10 to 0.72). Similarly, there was no significant positive effect of exercise on functional outcomes. Outcomes show similar trends at short-, intermediate-, and long-term follow-up.

 

Effectiveness of exercise therapy for subacute LBP Exercise versus other interventions. Six studies involving 881 subjects had non-exercise comparisons. Two trials found moderate evidence of reduced work absenteeism with a graded activity intervention compared to usual care. The evidence is conflicting regarding the effectiveness of other exercise therapy types in subacute LBP compared to other treatments.

 

Effectiveness of exercise therapy for chronic LBP Exercise versus other interventions. Thirty-three exercise groups in 25 trials on chronic LBP had non-exercise comparisons. These trials provide strong evidence that exercise therapy is at least as effective as other conservative interventions for chronic LBP. Two exercise groups in high quality studies and nine groups in low quality studies found exercise more effective than comparison treatments. These studies, mostly conducted in health care settings, commonly used exercise programs that were individually designed and delivered (as opposed to independent home exercises). The exercise programs commonly included strengthening or trunk stabilizing exercises. Conservative care in addition to exercise therapy was often included in these effective interventions, including behavioural and manual therapy, advice to stay active, and education. One low quality trial found a group-delivered aerobics and strengthening exercise program resulted in less improvement in pain and function outcomes than behavioural therapy. Of the remaining trials, 14 (2 high quality and 12 low quality) found no statistically significant or clinically important differences between exercise therapy and other conservative treatments; 4 of these trials were inadequately powered to detect clinically important differences on at least one outcome. Trials were rated low quality most commonly because of inadequate assessor blinding.

 

Meta-analysis of pain outcomes at the earliest follow-up included 23 exercise groups with an independent comparison and adequate data. Synthesis resulted in a pooled weighted mean improvement of 10.2 points (95% CI 1.31–19.09) for exercise therapy compared to no treatment, and 5.93 points (95% CI 2.21–9.65) compared to other conservative treatment [vs. all comparisons 7.29 points (95% CI 3.67–0.91)]. Smaller improvements were seen in functional outcomes with an observed mean positive effect of 3.15 points (95% CI -0.29 to 6.60) compared to no treatment, and 2.37 points (95% CI 0.74–4.0) versus other conservative treatment at the earliest follow-up [vs. all comparisons 2.53 points (95% CI 1.08–3.97)].

 

Adverse effects Most trials did not report any side effects. Two studies reported cardiovascular events that were considered not to be caused by the exercise therapy.

 

Lumbar Supports

 

Lumbar supports are provided as treatment to people suffering from LBP with the aim of making the impairment and disability vanish or decrease. Different desired functions have been suggested for lumbar supports: (1) to correct deformity, (2) to limit spinal motion, (3) to stabilize part of the spine, (4) to reduce mechanical uploading, and (5) miscellaneous effects: massage, heat, placebo. However, at the present time the putative mechanisms of action of a lumbar support remain a matter of debate.

 

Effectiveness of lumbar supports for acute LBP No trials were identified.

 

Effectiveness of lumbar supports for chronic LBP No RCT compared lumbar supports with placebo, no treatment, or other treatments for chronic LBP.

 

Effectiveness of lumbar supports for a mixed population of acute, subacute, and chronic LBP Four studies included a mix of patients with acute, subacute, and chronic LBP. One study did not give any information about the duration of the LBP complaints of the patients. There is moderate evidence that a lumbar support is not more effective in reducing pain than other types of treatment. Evidence on overall improvement and return to work was conflicting.

 

Adverse effects Potential adverse effects associated with prolonged lumbar support use include decreased strength of the trunk musculature, a false sense of security, heat, skin irritation, skin lesions, gastrointestinal disorders and muscle wasting, higher blood pressure and higher heart rates, and general discomfort.

 

Multidisciplinary Treatment Programmes

 

Multidisciplinary treatments for back pain evolved from pain clinics. Initially, multidisciplinary treatments focused on a traditional biomedical model and in the reduction of pain. Current multidisciplinary approaches to chronic pain are based on a multifactorial biopsychosicial model of interrelating physical, psychological, and social/occupational factors. The content of multidisciplinary programs varies widely and, at present, it is unclear what the optimal content is and who should be involved.

 

Effectiveness of multidisciplinary treatment for subacute LBP No trials identified.

 

Effectiveness of multidisciplinary treatment for subacute LBP Multidisciplinary treatment versus usual care. Two RCTs on subacute LBP were included. The study population in both studies consisted of workers on sick leave. In one study the patients in the intervention group returned to work sooner (10 weeks) compared with the control group (15 weeks) (P=0.03). The intervention group also had fewer sick leave during follow-up than the control group (mean difference=-7.5 days, 95% CI -15.06 to 0.06). There was no statistically significant difference in pain intensity between the intervention and control group, but subjective disability had decreased significantly more in the intervention group than in the control group (mean difference=-1.2, 95% CI -1.984 to -0.416). In the other study, the median duration of absence from regular work was 60 days for the group with a combination of occupational and clinical intervention, 67 days with the occupational intervention group, 131 days with the clinical intervention group, and 120.5 days with the usual care group (P=0.04). Return to work was 2.4 times faster in the group with both an occupational and clinical intervention (95% CI 1.19–4.89) than the usual care group, and 1.91 times faster in the two groups with occupational intervention than the two groups without occupational interventions (95% CI 1.18–3.1). There is moderate evidence that multidisciplinary treatment with a workplace visit and comprehensive occupational health care intervention is effective with regard to return to work, sick leave, and subjective disability for patients with subacute LBP.

 

Effectiveness of multidisciplinary treatment for chronic LBP Multidisciplinary treatment versus other interventions. Ten RCTs with a total of 1,964 subjects were included in the Cochrane review. Three additional papers reported on long-term outcomes of two of these trials. All ten trials excluded patients with significant radiculopathy or other indication for surgery. There is strong evidence that intensive multidisciplinary treatment with a functional restoration approach improves function when compared with inpatient or outpatient non-multidisciplinary treatments. There is moderate evidence that intensive multidisciplinary treatment with a functional restoration approach reduces pain when compared with outpatient non-multidisciplinary rehabilitation or usual care. There is contradictory evidence regarding vocational outcomes. Five trials evaluating less intensive multidisciplinary treatment programmes could not demonstrate beneficial effects on pain, function, or vocational outcomes when compared with non-multidisciplinary outpatient treatment or usual care. One additional RCT was found that showed no difference between multidisciplinary treatment and usual care on function and health related quality of life after 2 and 6 months.

 

The reviewed studies provide evidence that intensive (>100 h of therapy) MBPSR with a functional restoration approach produces greater improvements in pain and function for patients with disabling chronic LBP than non-multidisciplinary rehabilitation or usual care. Less intensive treatments did not seem effective.

 

Adverse effects No adverse effects were reported.

 

Spinal Manipulation

 

Spinal manipulation is defined as a form of manual therapy which involves movement of a joint past its usual end range of motion, but not past its anatomic range of motion. Spinal manipulation is usually considered as that of long lever, low velocity, non-specific type manipulation as opposed to short lever, high velocity, specific adjustment. Potential hypotheses for the working mechanism of spinal manipulation are: (1) release for the entrapped synovial folds, (2) relaxation of hypertonic muscle, (3) disruption of articular or periarticular adhesion, (4) unbuckling of motion segments that have undergone disproportionate displacement, (5) reduction of disc bulge, (6) repositioning of miniscule structures within the articular surface, (7) mechanical stimulation of nociceptive joint fibres, (8) change in neurophysiological function, and (9) reduction of muscle spasm.

 

Effectiveness of spinal manipulation for acute LBP Spinal manipulation versus sham. Two trials were identified. Patients receiving treatment that included spinal manipulation had statistically significant and clinically important short-term improvements in pain (10-mm difference; 95% CI 2–17 mm) compared with sham therapy. However, the improvement in function was considered clinically relevant but not statistically significant (2.8-mm difference on the Roland Morris scale; 95% CI -0.1 to 5.6).

 

Spinal manipulation versus other therapies. Twelve trials were identified. Spinal manipulation resulted in statistically significant more short-term pain relief compared with other therapies judged to be ineffective or possibly even harmful (4-mm difference; 95% CI 1–8 mm). However, the clinical significance of this finding is questionable. The point estimate of improvement in short-term function for treatment with spinal manipulation compared with the ineffective therapies was considered clinically significant but was not statistically significant (2.1-point difference on the Roland Morris scale; 95% CI -0.2 to 4.4). There were no differences in effectiveness between patients treated with spinal manipulation and those treated with any of the conventionally advocated therapies.

 

Effectiveness of spinal manipulation for chronic LBP Spinal manipulation versus sham. Three trials were identified. Spinal manipulation was statistically significantly more effective compared with sham manipulation on short-term pain relief (10 mm; 95% CI 3–17 mm) and long-term pain relief (19 mm; 95% CI 3–35 mm). Spinal manipulation was also statistically significantly more effective on short-term improvement of function (3.3 points on the Roland and Morris Disability Questionnaire (RMDQ); 95% CI 0.6–6.0).

 

Spinal manipulation versus other therapies. Eight trials were identified. Spinal manipulation was statistically significantly more effective compared with the group of therapies judged to be ineffective or perhaps harmful on short-term pain relief (4 mm; 95% CI 0–8), and short-term improvement in function (2.6 points on the RMDQ; 95% CI 0.5–4.8). There were no differences in short- and long-term effectiveness compared with other conventionally advocated therapies such as general practice care, physical or exercise therapy, and back school.

 

Adverse effects In the RCTs identified by the review that used a trained therapist to select people and perform spinal manipulation, the risk of serious complications was low. An estimate of the risk of spinal manipulation causing a clinically worsened disk herniation or cauda equina syndrome in a patient presenting with lumbar disk herniation is calculated from published data to be less than 1 in 3.7 million.

 

Traction

 

Lumbar traction uses a harness (with velcro strapping) that is put around the lower rib cage and around the iliacal crest. Duration and level of force exerted through this harness can be varied in a continuous or intermittent mode. Only in motorized and bed rest traction can the force be standardized. With other techniques total body weight and the strength of the patient or therapist determine the forces exerted. In the application of traction force, consideration must be given to counterforces such as lumbar muscle tension, lumbar skin stretch and abdominal pressure, which depend on the patient’s physical constitution. If the patient is lying on the traction table, the friction of the body on the table provides the main counterforce during traction. The exact mechanism through which traction might be effective is unclear. It has been suggested that spinal elongation, through decreasing lordosis and increasing intervertebral space, inhibits nociceptive impulses, improves mobility, decreases mechanical stress, reduces muscle spasm or spinal nerve root compression (due to osteophytes), releases luxation of a disc or capsule from the zygo-apophysial joint, and releases adhesions around the zygo-apophysial joint and the annulus fibrosus. So far, the proposed mechanisms have not been supported by sufficient empirical information.

 

Thirteen of the studies identified in the Cochrane review included a homogeneous population of LBP patients with radiating symptoms. The remaining studies included a mix of patients with and without radiation. There were no studies exclusively involving patients who had no radiating symptoms.

 

Five studies included solely or primarily patients with chronic LBP of more than 12 weeks; in one study patients were all in the subacute range (4–12 weeks). In 11 studies the duration of LBP was a mixture of acute, subacute, and chronic. In four studies duration was not specified.

 

Effectiveness of traction for acute LBP No RCTs included primarily people with acute LBP. One study was identified that included patients with subacute LBP, but this population consisted of a mix of patients with and without radiation.

 

Effectiveness of traction for chronic LBP One trial found that continuous traction is not more effective on pain, function, overall improvement, or work absenteeism than placebo. One RCT (42 people) found no difference in effectiveness between standard physical therapy including continuous traction and the same program without traction. One RCT (152 people) found no significant difference between lumbar traction plus massage and interferential treatment in pain relief, or improvement of disability 3 weeks and 4 months after the end of treatment. This RCT did not exclude people with sciatica, but no further details of the proportion of people with sciatica were reported. One RCT (44 people) found that autotraction is more effective than mechanical traction on global improvement, but not on pain and function, in chronic LBP patients with or without radiating symptoms. However, this trial had several methodological problems that may be associated with biased results.

 

Adverse effects Little is known about the adverse effects of traction. Only a few case reports are available, which suggest that there is some danger for nerve impingement in heavy traction, i.e. lumbar traction forces exceeding 50% of the total body weight. Other risks described for lumbar traction are respiratory constraints due to the traction harness or increased blood pressure during inverted positional traction. Other potential adverse effects of traction include debilitation, loss of muscle tone, bone demineralization, and thrombophlebitis.

 

Transcutaneous Electrical Nerve Stimulation

 

Transcutaneous electrical nerve stimulation (TENS) is a therapeutic non-invasive modality mainly used for pain relief by electrically stimulating peripheral nerves via skin surface electrodes. Several types of TENS applications, differing in intensity and electrical characteristics, are used in clinical practice: (1) high frequency, (2) low frequency, (3) burst frequency, and (4) hyperstimulation.

 

Effectiveness of TENS for acute LBP: No trials were identified.

 

Effectiveness of TENS for chronic LBP The Cochrane review included two RCTs of TENS for chronic LBP. The results of one small trial (N=30) showed a significant decrease in subjective pain intensity with active TENS treatment compared to placebo over the course of the 60-min treatment session. The pain reduction seen at the end of stimulation was maintained for the entire 60-min post-treatment time interval assessed (data not shown). Longer term follow-up was not conducted in this study. The second trial (N=145) demonstrated no significant difference between active TENS and placebo for any of the outcomes measured, including pain, functional status, range of motion, and use of medical services.

 

Adverse effects In a third of the participants in one trial, minor skin irritation occurred at the site of electrode placement. These adverse effects were observed equally in the active TENS and placebo groups. One participant randomized to placebo TENS developed severe dermatitis 4 days after beginning therapy and was required to withdraw (Tables 1, ​2).

 

Table 1 Effectiveness of Conservative Interventions for Acute Non Specific Low Back Pain
Table 1: Effectiveness of conservative interventions for acute non-specific low back pain.

 

Table 2 Effectiveness of Conservative Interventions for Chronic Non Specific Low Back Pain
Table 2: Effectiveness of conservative interventions for chronic non-specific low back pain.

 

Discussion

 

The best available evidence for conservative treatments for non-specific LBP summarized in this paper shows that some interventions are effective. Traditional NSAIDs, muscle relaxants, and advice to stay active are effective for short-term pain relief in acute LBP. Advice to stay active is also effective for long-term improvement of function in acute LBP. In chronic LBP, various interventions are effective for short-term pain relief, i.e. antidepressants, COX2 inhibitors, back schools, progressive relaxation, cognitive–respondent treatment, exercise therapy, and intensive multidisciplinary treatment. Several treatments are also effective for short-term improvement of function in chronic LBP, namely COX2 inhibitors, back schools, progressive relaxation, exercise therapy, and multidisciplinary treatment. There is no evidence that any of these interventions provides long-term effects on pain and function. Also, many trials showed methodological weaknesses, effects are compared to placebo, no treatment or waiting list controls, and effect sizes are small. Future trials should meet current quality standards and have adequate sample size. However, in summary, there is evidence that some interventions are effective while evidence for many other interventions is lacking or there is evidence that they are not effective.

 

During the last decade, various clinical guidelines on the management of acute LBP in primary care have been published that have used this evidence. At present, guidelines exist in at least 12 different countries: Australia, Denmark, Finland, Germany, Israel, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. Since the available evidence is international, one would expect that each country’s guidelines would give more or less similar recommendations regarding diagnosis and treatment. Comparison of clinical guidelines for the management of LBP in primary care from 11 different countries showed that the content of the guidelines regarding therapeutic interventions is quite similar. However, there were also some discrepancies in recommendations across guidelines. Differences in recommendations between guidelines may be due to incompleteness of the evidence, different levels of evidence, magnitude of effects, side effects and costs, differences in health care systems (organization/financial), or differences in membership of guidelines committees. More recent guidelines may have included more recently published trials and, therefore, may end up with slightly different recommendations. Also, guidelines may have been based on systematic reviews that included trials in different languages; the majority of existing reviews have considered only studies published in a few languages, and several, only those published in English. Recommendations in guidelines are not only based on scientific evidence, but also on consensus. Guideline committees may consider various arguments differently, such as the magnitude of the effects, potential side effects, cost-effectiveness, and current routine practice and available resources in their country. Especially as we know that effects in the field of LBP, if any, are usually small and short-term effects only, interpretation of effects may vary among guideline committees. Also, guideline committees may differently weigh other aspects such as side effects and costs. The constitution of the guideline committees and the professional bodies they represent may introduce bias—either for or against a particular treatment. This does not necessarily mean that one guideline is better than the other or that one is right and the other is wrong. It merely shows that when translating the evidence into clinically relevant recommendations more aspects play a role, and that these aspects may vary locally or nationally.

 

Recently European guidelines for the management of LBP were developed to increase consistency in the management of non-specific LBP across countries in Europe. The European Commission has approved and funded this project called ‘COST B13’. The main objectives of this COST action were developing European guidelines for the prevention, diagnosis and treatment of non-specific LBP, ensuring an evidence-based approach through the use of systematic reviews and existing clinical guidelines, enabling a multidisciplinary approach, and stimulating collaboration between primary health care providers and promoting consistency across providers and countries in Europe. Representatives from 13 countries participated in this project that was conducted between 1999 and 2004. The experts represented all relevant health professions in the field of LBP: anatomy, anaesthesiology, chiropractic, epidemiology, ergonomy, general practice, occupational care, orthopaedic surgery, pathology, physiology, physiotherapy, psychology, public health care, rehabilitation, and rheumatology. Within this COST B13 project four European guidelines were developed on: (1) acute LBP, (2) chronic LBP, (3) prevention of LBP, and (4) pelvic girdle pain. The guidelines will soon be published as a supplement to the European Spine Journal.

 

Contributor Information

 

Maurits W. van Tulder, Bart Koes, Antti Malmivaara: Ncbi.nlm.nih.gov

 

In conclusion, the clinical and experimental evidence above for non-invasive treatment modalities on back pain demonstrated that several of the treatments are safe and effective. While the results of a variety of the methods used to improve back pain symptoms were proven to be efficient, many other treatment modalities requires additional evidence and others were reported to not be effective towards improving symptoms of back pain. The main objective of the research study was to determine the safest and most effective guideline for the prevention, diagnosis and treatment of non-specific back pain. Information referenced from the National Center for Biotechnology Information (NCBI). The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

1. Alaranta H, Rytokoski U, Rissanen A, Talo S, Ronnemaa T, Puukka P, Karppi SL, Videman T, Kallio V, Slatis P. Intensive physical and psychosocial training program for patients with chronic low back pain. A controlled trial. Spine. 1994;19:1340–1349. [PubMed]
2. Alcoff J, Jones E, Rust P, Newman R. Controlled trial of imipramine for chronic low back pain. J Fam Pract. 1982;14:841–846. [PubMed]
3. Alexandre NM, Moraes MA, Correa Filho HR, Jorge SA. Evaluation of a program to reduce back pain in nursing personnel. Rev Salud Publica. 2001;35:356–361. [PubMed]
4. Amlie E, Weber H, Holme I. Treatment of acute low back pain with piroxicam: results of a double-blind placebo-controlled trial. Spine. 1987;12:473–476. doi: 10.1097/00007632-198706000-00010. [PubMed] [Cross Ref]
5. Arbus L, Fajadet B, Aubert D, Morre M, Goldfinger E. Activity of tetrazepam in low back pain. Clin Trials J. 1990;27:258–267.
6. Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle P. Spinal manipulative therapy for low back pain. A meta-analysis of effectiveness relative to other therapies. Ann Intern Med. 2003;138:871–881. [PubMed]
7. Atkinson JH, Slater MA, Williams RA. A placebo-controlled randomized clinical trial of nortriptyline for chronic low back pain. Pain. 1998;76:287–296. doi: 10.1016/S0304-3959(98)00064-5. [PubMed] [Cross Ref]
8. Atkinson JH, Slater MA, Wahlgren DR. Effects of noradrenergic and serotonergic antidepressants on chronic low back pain intensity. Pain. 1999;83:137–145. doi: 10.1016/S0304-3959(99)00082-2. [PubMed] [Cross Ref]
9. Babej-Dolle R, Freytag S, Eckmeyer J, Zerle G, Schinzel S, Schmeider G, Stankov G. Parenteral dipyrone versus diclofenac and placebo in patients with acute lumbago or sciatic pain: randomized observer-blind multicenter study. Int J Clin Pharmacol Ther. 1994;32:204–209. [PubMed]
10. Baptista R, Brizzi J, Dutra F, Josef H, Keisermann M, de Lucca R (1988) Terapeutica da lombalgia com a tizanidina (DS 103-282), un novo agente mioespasmolitico. Estudo multicentrico, duplo-cego e comparativo. Folha Medica
11. Barrata R. A double-blind study of cyclobenzaprine and placebo in the treatment of acute muskuloskeletal conditions of the low back. Curr Ther Res. 1982;32:646–652.
12. Basler H, Jakle C, Kroner-Herwig B. Incorporation of cognitive–behavioral treatment into the medical care of chronic low back patients: a controlled randomized study in German pain treatment centers. Patient Educ Couns. 1997;31:113–124. doi: 10.1016/S0738-3991(97)00996-8. [PubMed] [Cross Ref]
13. Basmajian J. Cyclobenzaprine hydrochloride effect on skeletal muscle spasm in the lumbar region and neck: two double-blind controlled clinical and laboratory studies. Arch Phys Med Rehabil. 1978;59:58–63. [PubMed]
14. Basmajian JV. Acute back pain and spasm: a controlled multicenter trial of combined analgesic and antispasm agents. Spine. 1989;14:438–439. doi: 10.1097/00007632-198904000-00019. [PubMed] [Cross Ref]
15. Bendix AF, Bendix T, Ostenfeld S, Bush E, Andersen A. Active treatment programs for patients with chronic low back pain: a prospective randomized, observer-blinded study. Eur Spine J. 1995;4:148–152. doi: 10.1007/BF00298239. [PubMed] [Cross Ref]
16. Bendix AF, Bendix T, Vaegter KV, Lund C, Frolund L, Holm L. Multidisciplinary intensive treatment for chronic low back pain: a randomized, prospective study. Cleve Clin J Med. 1996;63:62–69. [PubMed]
17. Bendix AE, Bendix T, Lund C, Kirkbak S, Ostenfeld S. Comparison of three intensive programs for chronic low back pain patients: a prospective, randomized, observer-blinded study with one-year follow-up. Scand J Rehabil Med. 1997;29:81–89. [PubMed]
18. Bendix AE, Bendix T, Haestrup C, Busch E. A prospective, randomized 5-year follow-up study of functional restoration in chronic low back pain patients. Eur Spine J. 1998a;7:111–119. doi: 10.1007/s005860050040. [PubMed] [Cross Ref]
19. Bendix AE, Bendix T, Labriola M, Boekgaard P. Functional restoration for chronic low back pain. Two-year follow-up of two randomized clinical trials. Spine. 1998b;23:717–725. doi: 10.1097/00007632-199803150-00013. [PubMed] [Cross Ref]
20. Bendix T, Bendix A, Labriola M, Haestrup C, Ebbehoj N. Functional restoration versus outpatient physical training in chronic low back pain: a randomized comparative study. Spine. 2000;25:2494–2500. doi: 10.1097/00007632-200010010-00012. [PubMed] [Cross Ref]
21. Bergquist-Ullman M, Larsson U. Acute low-back pain in industry. Acta Orthop Scand. 1977;170(Suppl.):1–117. [PubMed]
22. Berry H, Hutchinson D. A multicentre placebo-controlled study in general practice to evaluate the efficacy and safety of tizanidine in acute low-back pain. J Int Med Res. 1988;16:75–82. [PubMed]
23. Berry H, Bloom B, Hamilton EBD, Swinson DR. Naproxen sodium, diflunisal, and placebo in the treatment of chronic back pain. Ann Rheum Dis. 1982;41:129–132. doi: 10.1136/ard.41.2.129. [PMC free article] [PubMed] [Cross Ref]
24. Beurskens AJ, Vet HC, Köke AJ, Lindeman E, Regtop W, Heijden GJ, Knipschild PG. Efficacy of traction for non-specific low back pain: a randomised clinical trial. Lancet. 1995;346:1596–1600. doi: 10.1016/S0140-6736(95)91930-9. [PubMed] [Cross Ref]
25. Beurskens AJ, Vet HC, Köke AJ, Regtop W, Heijden GJ, Lindeman E, Knipschild PG. Efficacy of traction for nonspecific low back pain. 12-week and 6-month results of a randomized clinical trial. Spine. 1997;22:2756–2762. doi: 10.1097/00007632-199712010-00011. [PubMed] [Cross Ref]
26. Bianchi M. Evaluation of cyclobenzaprine for skeletal muscle spasm of local origin. Clinical evaluation of flexeril (cyclobenzaprine HCL/MSD) Minneapolis: Postgraduate Medicine Communications; 1978. pp. 25–29.
27. Bigos S, Bowyer O, Braen G (1994) Acute low back problems in adults. Clinical Practice Guideline No. 14. AHCPR Publication No. 95-0642. Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, Rockville
28. Bihaug O. Autotraksjon for ischialgpasienter. En kontrollert sammenlikning mellom effekten av Auto-traksjon-B og isometriske ovelser ad modum Hume endall og Jenkins. Fysioterapeuten. 1978;45:377–379.
29. Birbara CA, Puopolo AD, Munoz DR. Treatment of chronic low back pain with etoricoxib, a new cyclo-oxygenase-2 selective inhibitor: improvement in pain and disability: a randomised, placebo-controlled, 3-month trial. J Pain. 2003;4:307–315. doi: 10.1016/S1526-5900(03)00633-3. [PubMed] [Cross Ref]
30. Blomberg S, Hallin G, Grann K, Berg E, Sennerby U. Manual therapy with steroid injections—a new approach to treatment of low back pain. A controlled multicenter trial with an evaluation by orthopedic surgeons. Spine. 1994;19:569–577. doi: 10.1097/00007632-199403000-00013. [PubMed] [Cross Ref]
31. Bombardier C, Laine L, Reicin A, Shapiro D, Burgos-Vargas R, Davis B, Day R, Ferraz MB, Hawkey CJ, Hochberg MC, Kvien TK, Schnitzer TJ, Study Group VIGOR. Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. VIGOR Study Group. N Engl J Med. 2000;343:1520–1528. doi: 10.1056/NEJM200011233432103. [PubMed] [Cross Ref]
32. Borman P, Keskin D, Bodur H. The efficacy of lumbar traction in the management of patients with low back pain. Rheumatol Int. 2003;23:82–86. [PubMed]
33. Bouter LM, Pennick V, Bombardier C, Editorial Board of the Back Review Group Cochrane Back Review Group. Spine. 2003;28:1215–1218. doi: 10.1097/00007632-200306150-00002. [PubMed] [Cross Ref]
34. Braun H, Huberty R. Therapy of lumbar sciatica. A comparative clinical study of a corticoid-free monosubstance and a corticoid containing combination drug. Med Welt. 1982;33:490–491. [PubMed]
35. Bronfort G, Goldsmith CH, Nelson CF, Boline PD, Anderson AV. Trunk exercise combined with spinal manipulative or NSAID therapy for chronic low back pain: a randomized, observer-blinded clinical trial. J Manipulative Physiol Ther. 1996;19:570–582. [PubMed]
36. Brown FL, Bodison S, Dixon J, Davis W, Nowoslawski J. Comparison of diflunisal and acetaminophen with codeine in the treatment of initial or recurrent acute low back pain. Clin Ther. 1986;9(Suppl. c):52–58. [PubMed]
37. Bru E, Mykletun R, Berge W, Svebak S. Effects of different psychological interventions on neck, shoulder and low back pain in female hospital staff. Psychol Health. 1994;9:371–382. doi: 10.1080/08870449408407495. [Cross Ref]
38. Calmels P, Fayolle-Minon I. An update on orthotic devices for the lumbar spine based on a review of the literature. Rev Rhum. 1996;63:285–291. [PubMed]
39. Casale R. Acute low back pain: symptomatic treatment with a muscle relaxant drug. Clin J Pain. 1988;4:81–88.
40. Cherkin DC, Deyo RA, Battie M, Street J, Barlow W. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. N Engl J Med. 1998;339:1021–1029. doi: 10.1056/NEJM199810083391502. [PubMed] [Cross Ref]
41. Chok B, Lee R, Latimer J, Seang BT. Endurance training of the trunk extensor muscles in people with subacute low back pain. Phys Ther. 1999;79:1032–1042. [PubMed]
42. Clarke J, van Tulder M, Blomberg S, Bronfort G, van der Heijden G, de Vet HCW (2005) Traction for low back pain: a systematic review within the framework of the Cochrane Collaboration. In: The Cochrane Library, Issue 3. Update Software, Oxford
43. Coats TL, Borenstein DG, Nangia NK, Brown MT. Effects of valdecoxib in the treatment of chronic low back pain: results of a randomized, placebo-controlled trial. Clin Ther. 2004;26:1249–1260. doi: 10.1016/S0149-2918(04)80081-X. [PubMed] [Cross Ref]
44. Coomes NE. A comparison between epidural anaesthesia and bed rest in sciatica. Br Med J. 1961;Jan:20–24. [PMC free article] [PubMed]
45. Coxhead CE, Inskip H, Meade TW, North WRS, Troup JDG. Multicentre trial of physiotherapy in the management of sciatic symptoms. Lancet. 1981;1:1065–1068. doi: 10.1016/S0140-6736(81)92238-8. [PubMed] [Cross Ref]
46. Cramer GD, Humphreys CR, Hondras MA, McGregor M, Triano JJ. The Hmax/Mmax ratio as an outcome measure for acute low back pain. J Manipulative Physiol Ther. 1993;16:7–13. [PubMed]
47. Dalichau S, Scheele K. Effects of elastic lumbar belts on the effect of a muscle training program for patients with chronic back pain [German] Zt Orthop Grenzgeb. 2000;138:8–16. doi: 10.1055/s-2000-10106. [PubMed] [Cross Ref]
48. Dalichau S, Scheele K, Perrey RM, Elliehausen H-J, Huebner J. Ultraschallgestützte Haltungs- und Bewegungsanalyse der Lendenwirbelsäule zum Nachweis der Wirksamkeit einer Rückenschule. Zbl Arbeitsmedizin. 1999;49:148–156.
49. Dapas F. Baclofen for the treatment of acute low-back syndrome. Spine. 1985;10:345–349. doi: 10.1097/00007632-198505000-00010. [PubMed] [Cross Ref]
50. Davies JE, Gibson T, Tester L. The value of exercises in the treatment of low back pain. Rheumatol Rehabil. 1979;18:243–247. [PubMed]
51. Deyo RA, Diehl AK, Rosenthal M. How many days of bed rest for acute low back pain? A randomized clinical trial. N Engl J Med. 1986;315:1064–1070. [PubMed]
52. Deyo RA, Walsh NE, Martin DC, Schoenfeld LS, Ramamurthy S. A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. N Engl J Med. 1990;322:1627–1634. [PubMed]
53. Dickens C, Jayson M, Sutton C. The relationship between pain and depression in a trial using paroxetine in sufferers of chronic low back pain. Psychosomatics. 2000;41:490–499. doi: 10.1176/appi.psy.41.6.490. [PubMed] [Cross Ref]
54. Donchin M, Woolf O, Kaplan L, Floman Y. Secondary prevention of low-back pain. A clinical trial. Spine. 1990;15:1317–1320. [PubMed]
55. Doran DML, Newell DJ. Manipulation in treatment of low back pain: a multicentre study. Br Med J. 1975;2:161–164. [PMC free article] [PubMed]
56. Evans DP, Burke MS, Lloyd KN, Roberts EE, Roberts GM. Lumbar spinal manipulation on trial. Part 1: clinical assessment. Rheumatol Rehabil. 1978;17:46–53. [PubMed]
57. Evans DP, Burke MS, Newcombe RG. Medicines of choice in low back pain. Curr Med Res Opin. 1980;6:540–547. [PubMed]
58. Faas A, Chavannes AW, Eijk JTM, Gubbels JW. A randomized placebo-controlled trial of exercise therapy in patients with acute low back pain. Spine. 1993;18:1388–1395. [PubMed]
59. Faas A, Eijk JTM, Chavannes AW, Gubbels JW. A randomized trial of exercise therapy in patients with acute low back pain. Spine. 1995;20:941–947. doi: 10.1097/00007632-199504150-00012. [PubMed] [Cross Ref]
60. Farrell JP, Twomey LT. Acute low back pain: comparison of two conservative treatment approaches. Med J Aust. 1982;1:160–164. [PubMed]
61. Fordyce WE, Brockway JA, Bergman JA, Spengler D. Acute back pain: a control group comparison of behavioural versus traditional management methods. J Behav Med. 1986;9:127–140. doi: 10.1007/BF00848473. [PubMed] [Cross Ref]
62. Frost H, Klaber Moffett JA, Moser JS, Fairbank JCT. Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Br Med J. 1995;310:151–154. [PMC free article] [PubMed]
63. Frost H, Lamb SE, Klaber Moffett JA, Fairbank JCT, Moser JS. A fitness programme for patients with chronic low back pain: 2-year follow-up of a randomised controlled trial. Pain. 1998;75:273–279. doi: 10.1016/S0304-3959(98)00005-0. [PubMed] [Cross Ref]
64. Frost H, Lamb SE, Doll HA, Taffe Carver P, Stewart-Brown S. Randomized controlled trial of physiotherapy compared with advice for low back pain. Br Med J. 2004;329:708–711. doi: 10.1136/bmj.38216.868808.7C. [PMC free article] [PubMed] [Cross Ref]
65. Galantino ML, Bzdewka TM, Eissler-Russo JL, Holbrook ML, Mogck EP, Geigle P. The impact of modified hatha yoga on chronic low back pain: a pilot study. Altern Ther Health Med. 2004;10:56–59. [PubMed]
66. Gemignani G, Olivieri I, Ruju G, Pasero G. Transcutaneous electrical nerve stimulation in ankylosing spondylitis: a double-blind study. Arthritis Rheum. 1991;34:788–789. doi: 10.1002/art.1780340624. [PubMed] [Cross Ref]
67. Gibson T, Grahame R, Harkness J, Woo P, Blagrave P, Hills R (1985) Controlled comparison of short-wave diathermy treatment with osteopathic treatment in non-specific low back pain. Lancet 1258–1261 [PubMed]
68. Gilbert JR, Taylor DW, Hildebrand A, Evans C. Clinical trial of common treatments for low back pain in family practice. Br Med J Clin Res Ed. 1985;291:791–794. [PMC free article] [PubMed]
69. Glomsrød B, Lønn JH, Soukup MG, Bø K, Larsen S. Active back school, prophylactic management for low back pain: three-year follow-up of a randomized controlled trial. J Rehabil Med. 2001;33:26–30. doi: 10.1080/165019701300006506. [PubMed] [Cross Ref]
70. Glover JR, Morris JG, Khosla T. Back pain: a randomized clinical trial of rotational manipulation of the trunk. Br J Ind Med. 1974;31:59–64. [PMC free article] [PubMed]
71. Godfrey CM, Morgan PP, Schatzker J. A randomized trial of manipulation for low-back pain in a medical setting. Spine. 1984;9:301–304. doi: 10.1097/00007632-198404000-00015. [PubMed] [Cross Ref]
72. Gold R. Orphenadrine citrate: sedative or muscle relaxant? Clin Ther. 1978;1:451–453.
73. Goldie I. A clinical trial with indomethacin (indomee) in low back pain and sciatica. Acta Orthop Scand. 1968;39:117–128. [PubMed]
74. Goodkin K, Gullion CM, Agras WS. A randomised double blind, placebo-controlled trial of trazodone hydrochloride in chronic low back pain syndrome. J Clin Psychopharmacol. 1990;10:269–278. doi: 10.1097/00004714-199008000-00006. [PubMed] [Cross Ref]
75. Gur A, Karakoc M, Cevik R, Nas K, Sarac AJ, Karakoc M. Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain. Lasers Surg Med. 2003;32:233–238. doi: 10.1002/lsm.10134. [PubMed] [Cross Ref]
76. Guzman J, Esmail R, Karjalainen K. Multidisciplinary rehabilitation for chronic low back pain: systematic review. Br Med J. 2001;322:1511–1516. doi: 10.1136/bmj.322.7301.1511. [PMC free article] [PubMed] [Cross Ref]
77. Hadler NM, Curtis P, Gillings DB, Stinnett S. A benefit of spinal manipulation as adjunctive therapy for acute low-back pain: a stratified controlled trial. Spine. 1987;12:703–705. doi: 10.1097/00007632-198709000-00012. [PubMed] [Cross Ref]
78. Hagen KB, Hilde G, Jamtvedt G (2003) Bed rest for acute low back pain and sciatica (Cochrane Review). In: The Cochrane Library, Issue 1. Update Software, Oxford
79. Hameroff SR, Weiss JL, Lerman JC. Doxepin’s effects on chronic pain and depression: a controlled study. J Clin Psychiatry. 1984;45:47–52. [PubMed]
80. Hansen FR, Bendix T, Skov P, Jensen CV, Kristensen JH, Krohn L. Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low back pain: a randomized, observer-blind trial. Spine. 1993;18:98–107. doi: 10.1097/00007632-199301000-00015. [PubMed] [Cross Ref]
81. Härkäpää K, Järvikoski A, Mellin G, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low-back pain. Part I. Scand J Rehabil Med. 1989;21:81–89. [PubMed]
82. Härkäpää K, Mellin G, Järvikoski A, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low-back pain. Part III. Scand J Rehabil Med. 1990;22:181–188. [PubMed]
83. Hayden JA, Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med. 2005;142:765–775. [PubMed]
84. Hemmila HM, Keinanen-Kiukaanniemi SM, Levoska S. Does folk medicine work? A randomized clinical trial on patients with prolonged back pain. Arch Phys Med Rehabil. 1997;78:571–577. doi: 10.1016/S0003-9993(97)90420-2. [PubMed] [Cross Ref]
85. Hemmila H, Keinanen-Kiukaanniemi SM, Levoska S, Puska P. Long-term effectiveness of bone-setting, light exercise therapy, and physiotherapy for prolonged back pain: a randomized controlled trial. J Manipulative Physiol Ther. 2002;25:99–104. doi: 10.1067/mmt.2002.122329. [PubMed] [Cross Ref]
86. Henry D, Lim LLY, Rodriguez LAG. Variability in risk of gastrointestinal complications with individual non-steroidal anti-inflammatory drugs: results of a collaborative meta-analysis. Br Med J. 1996;312:1563–1566. [PMC free article] [PubMed]
87. Herzog W, Conway PJW, Willcox BJ. Effects of different treatment modalities on gait symmetry and clinical measures for sacroiliac joint patients. J Manipulative Physiol Ther. 1991;14:104–109. [PubMed]
88. Heymans MW, Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2005;30:2153–2163. doi: 10.1097/01.brs.0000182227.33627.15. [PubMed] [Cross Ref]
89. Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine. 2001;26:E243–E248. doi: 10.1097/00007632-200106010-00004. [PubMed] [Cross Ref]
90. Hilde G, Hagen KB, Jamtvedt G (2003) Advice to stay active as a single treatment for low back pain and sciatica (Cochrane Review). In: The Cochrane Library, Issue 1. Update Software, Oxford [PubMed]
91. Hildebrandt VH, Proper KI, van den BR, Douwes M, Heuvel SG, Buuren S. Cesar therapy is temporarily more effective in patients with chronic low back pain than the standard treatment by family practitioner: randomized, controlled and blinded clinical trial with 1 year follow-up [Dutch] Ned Tijdschr Geneesk. 2000;144:2258–2264. [PubMed]
92. Hindle T. Comparison of carisoprodol, butabarbital, and placebo in treatment of the low back syndrome. Calif Med. 1972;117:7–11. [PMC free article] [PubMed]
93. Hofstee DJ, Gutenbeek JMM, Hoogland PH, Houwelingen HC, Kloet A, Lötters F, Tans JTJ. Westeinde sciatica trial: randomized controlled study of bed rest and physiotherapy for acute sciatica. J Neurosurg. 2002;96:45–49. [PubMed]
94. Hsieh CJ, Phillips RB, Adams AH, Pope MH. Functional outcomes of low back pain: comparison of four treatment groups in a randomized controlled trial. J Manipulative Physiol Ther. 1992;15:4–9. [PubMed]
95. Hurri H. The Swedish back school in chronic low-back pain. Part I. Benefits. Scand J Rehabil Med. 1989;21:33–40. [PubMed]
96. Indahl A, Velund L, Reikeraas O. Good prognosis for low back pain when left untampered. A randomized clinical trial. Spine. 1995;20:473–477. [PubMed]
97. Indahl A, Haldorsen EH, Holm S, Reikeras O, Ursin H. Five-year follow-up study of a controlled clinical trial using light mobilization and an informative approach to low back pain. Spine. 1998;23:2625–2630. doi: 10.1097/00007632-199812010-00018. [PubMed] [Cross Ref]
98. Jacobs JH, Grayson MF. Trial of anti-inflammatory agent (indomethacin) in low back pain with and without redicular involvement. Br Med J. 1968;3:158–160. [PMC free article] [PubMed]
99. Jenkins DG, Ebbutt AF, Evans CD. Tofranil in the treatment of low back pain. J Int Med Res. 1976;4:28–40. [PubMed]
100. Jückel WH, Cziske R, Gerdes N, Jacobi E. Überprüfung der Wirksamkeit stationärer Rehabilitationsmaßnahmen bei Patienten mit chronishen Kreuzschmerzen: eine prospective randomisierte, kontrollierte Studie. Rehabilitation. 1990;29:129–133. [PubMed]
101. Kankaanpaa M, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability. Spine. 1999;24:1034–1042. doi: 10.1097/00007632-199905150-00019. [PubMed] [Cross Ref]
102. Katz N, Ju WD, Krupa DA. Efficacy and safety of rofecoxib in patients with chronic low back pain: results from two 4-week, randomised, placebo-controlled, parallel-group. Double-blind trials. Spine. 2003;28:851–859. doi: 10.1097/00007632-200305010-00002. [PubMed] [Cross Ref]
103. Keijsers JFEM, Groenman NH, Gerards FM, Oudheusden E, Steenbakkers M. A back school in the Netherlands: evaluating the results. Patient Educ Couns. 1989;14:31–44. doi: 10.1016/0738-3991(89)90005-0. [PubMed] [Cross Ref]
104. Keijsers JFME, Steenbakkers WHL, Meertens RM, Bouter LM, Kok GJ. The efficacy of the back school: a randomized trial. Arthritis Care Res. 1990;3:204–209.
105. Klaber Moffett JA, Chase SM, Portek I, Ennis JR. A controlled prospective study to evaluate the effectiveness of a back school in the relief of chronic low-back pain. Spine. 1986;11:120–122. doi: 10.1097/00007632-198603000-00003. [PubMed] [Cross Ref]
106. Klaber Moffett J, Torgerson D, Bell-Syer S, Jackson D, Llewlyn-Phillips H, Farrin A. Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences. Br Med J. 1999;319:279–283. [PMC free article] [PubMed]
107. Klinger N, Wilson R, Kanniainen C., Wagenknecht K, Re O, Gold R. Intravenous orphenadrine for the treatment of lumbar paravertebral muscle strain. Curr Ther Res. 1988;43:247–254.
108. Koes BW, Bouter LM, Mameren H, Essers AHM, Verstegen CMJR, Hofhuizen DM, Houben JP, Knipschild PG. Randomised clinical trial of manual therapy and physiotherapy for persistent back and neck complaints: results of one year follow-up. Br Med J. 1992;304:601–605. [PMC free article] [PubMed]
109. Koes BW, Tulder MW, Ostelo R, Kim Burton A, Waddell G. Clinical guidelines for the management of low back pain in primary care: an international comparison. Spine. 2001;26:2504–2513. doi: 10.1097/00007632-200111150-00022. [PubMed] [Cross Ref]
110. Konrad K, Tatrai T, Hunka A, Vereckei E, Korondi L. Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis. 1992;51:820–822. doi: 10.1136/ard.51.6.820. [PMC free article] [PubMed] [Cross Ref]
111. Kuukkanen TM, Malkia EA. An experimental controlled study on postural sway and therapeutic exercise in subjects with low back pain. Clin Rehabil. 2000;14:192–202. doi: 10.1191/026921500667300454. [PubMed] [Cross Ref]
112. Lacey PH, Dodd GD, Shannon DJ. A double-blind placebo controlled study of piroxicam in the management of acute musculoskeletal disorders. Eur J Rheumatol Inflamm. 1984;7:95–104. [PubMed]
113. Lankhorst GJ, Stadt RJ, Vogelaar TW, Korst JK, Prevo AJH. The effect of the Swedish back school in chronic idiopathic low-back pain. Scand J Rehabil Med. 1983;15:141–145. [PubMed]
114. Larsson U, Chöler U, Lindström A. Auto-traction for treatment of lumbago-sciatica. A multicenter controlled investigation. Acta Orthop Scand. 1980;51:791–798. doi: 10.3109/17453678008990875. [PubMed] [Cross Ref]
115. Leclaire R, Esdaile JM, Suissa S, Rossignol M, Proulx R, Dupuis M. Back school in a first episode of compensated acute low back pain: a clinical trial to assess efficacy and prevent relapse. Arch Phys Med Rehabil. 1996;77:673–679. doi: 10.1016/S0003-9993(96)90007-6. [PubMed] [Cross Ref]
116. Lepisto P. A comparative trial of dS 103-282 and placebo in the treatment of acute skeletal muscle spasms due to disorders of the back. Ther Res. 1979;26:454–459.
117. Letchuman R, Deusinger RH. Comparison of sacrospinalis myoelectric activity and pain levels in patients undergoing static and intermittent lumbar traction. Spine. 1993;18:1361–1365. doi: 10.1097/00007632-199308000-00017. [PubMed] [Cross Ref]
118. Lidstrom A, Zachrisson M. Physical therapy on low back pain and sciatica. Scand J Rehabil Med. 1970;2:37–42. [PubMed]
119. Lindequist SL, Lundberg B, Wikmark R, Bergstad B, Loof G, Ottermark AC. Information and regime at low-back pain. Scand J Rehabil Med. 1984;16:113–116. [PubMed]
120. Lindstrom I, Ohlund C, Eek C, Wallin L, Peterson LE, Fordyce WE. The effect of graded activity on patients with subacute low back pain: a randomized prospective clinical study with an operant-conditioning behavioural approach. Phys Ther. 1992;72:279–293. [PubMed]
121. Linton SJ, Bradley LA, Jensen I, Spangfort E, Sundell L. The secondary prevention of low back pain: a controlled study with follow-up. Pain. 1989;36:197–207. doi: 10.1016/0304-3959(89)90024-9. [PubMed] [Cross Ref]
122. Ljunggren E, Weber H, Larssen S. Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scand J Rehabil Med. 1984;16:117–124. [PubMed]
123. Loisel P, Abenhaim L, Durand P, Esdaile J, Suissa S, Gosselin L, Simard R, Turcotte J, Lemaire J. A population-based, randomized clinical trial on back pain management. Spine. 1997;22:2911–2918. doi: 10.1097/00007632-199712150-00014. [PubMed] [Cross Ref]
124. Lønn JH, Glomsrød B, Soukup MG, Bø K, Larsen S. Active back school: prophylactic management for low back pain. A randomized controlled 1-year follow-up study. Spine. 1999;24:865–871. doi: 10.1097/00007632-199905010-00006. [PubMed] [Cross Ref]
125. Lukinmaa Kansanelakelaitoksen julkaisuja. 1989;ML:90.
126. McGill SM. Abdominal belts in industry: a position paper on their assets, liabilities and use. Am Ind Hyg Assoc. 1993;54:752–754. [PubMed]
127. Malmivaara A, Hãkkinen U, Aro T, Heinrichs M-L, Koskenniemi L, Kuosma E, Lappi S, Paloheimo R, Servo C, Vaaranen V, Hernberg S. The treatment of acute low back pain—bed rest, exercises, or ordinary activity. N Eng J Med. 1995;332:351–355. doi: 10.1056/NEJM199502093320602. [PubMed] [Cross Ref]
128. Marchand S, Charest J, Li J, Chenard JR, Lavignolle B, Laurencelle L. Is TENS purely a placebo effect? A controlled study on chronic low back pain. Pain. 1993;54:99–106. doi: 10.1016/0304-3959(93)90104-W. [PubMed] [Cross Ref]
129. Mathews JA, Hickling J. Lumbar traction: a double-blind controlled study for sciatica. Rheumatol Rehabil. 1975;14:222–225. doi: 10.1093/rheumatology/14.4.222. [PubMed] [Cross Ref]
130. Mathews JA, Mills SB, Jenkins VM. Back pain and sciatica: controlled trials of manipulation, traction, sclerosant and epidural injections. Br J Rheumatol. 1987;26:416–423. doi: 10.1093/rheumatology/26.6.416. [PubMed] [Cross Ref]
131. Mathews W, Morkel M, Mathews J. Manipulation and traction for lumbago and sciatica: physiotherapeutic techniques used in two controlled trials. Physiother Pract. 1988;4:201–206.
132. Mellin G, Hurri H, Härkäpää K, Järvikoski A. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part II. Scand J Rehabil Med. 1989;21:91–95. [PubMed]
133. Mellin G, Härkäpää K, Hurri H, Järvikoski A. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part IV. Scand J Rehabil Med. 1990;22:189–194. [PubMed]
134. Milgrom C, Finestone A, Lev B, Wiener M, Floman Y. Overexertional lumbar and thoracic back pain among recruits: a prospective study of risk factors and treatment regimens. J Spinal Disord. 1993;6:187–193. doi: 10.1097/00002517-199306030-00001. [PubMed] [Cross Ref]
135. Milne S, Welch V, Brosseau L (2004) Transcutaneous electrical nerve stimulation (TENS) for chronic low back pain. In: The Cochrane Library, Issue 4. Update Software, Oxford
136. Mitchell RI, Carmen GM. The functional restoration approach to the treatment of chronic pain in patients with soft tissue and back injuries. Spine. 1994;19:633–642. doi: 10.1097/00007632-199403001-00001. [PubMed] [Cross Ref]
137. Moll W. Zur therapie akuter lumbovertebraler syndrome durch optimale medikamentose muskelrelaxation mittels diazepam. Med Welt. 1973;24:1747–1751. [PubMed]
138. Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother. 2002;48:297–302. [PubMed]
139. Newton-John TR, Spence SH, Schotte D. Cognitive–behavioural therapy versus EMG biofeedback in the treatment of chronic low back pain. Behav Res Ther. 1995;33:691–697. doi: 10.1016/0005-7967(95)00008-L. [PubMed] [Cross Ref]
140. Niemistö L, Lahtinen-Suopanki T, Rissanen P, Lindgren K-A, Sarna S, Hurri H. A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain. Spine. 2003;28:2185–2191. doi: 10.1097/01.BRS.0000085096.62603.61. [PubMed] [Cross Ref]
141. Nicholas MK, Wilson PH, Goyen J. Operant–behavioural and cognitive–behavioural treatment for chronic low back pain. Behav Res Ther. 1991;29:225–238. doi: 10.1016/0005-7967(91)90112-G. [PubMed] [Cross Ref]
142. Nicholas MK, Wilson PH, Goyen J. Comparison of cognitive–behavioral group treatment and an alternative non-psychological treatment for chronic low back pain. Pain. 1992;48:339–347. doi: 10.1016/0304-3959(92)90082-M. [PubMed] [Cross Ref]
143. Nouwen A. EMG biofeedback used to reduce standing levels of paraspinal muscle tension in chronic low back pain. Pain. 1983;17:353–360. doi: 10.1016/0304-3959(83)90166-5. [PubMed] [Cross Ref]
144. Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manipulative Physiol Ther. 2004;27:197–210. doi: 10.1016/j.jmpt.2003.12.023. [PubMed] [Cross Ref]
145. Ongley MJ, Klein RG, Dorman TA, Eek BC, Hubert LJ. A new approach to the treatment of chronic low back pain. Lancet. 1987;2:143–146. doi: 10.1016/S0140-6736(87)92340-3. [PubMed] [Cross Ref]
146. Ostelo RW, van Tulder MW, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ (2005) Behavioural treatment for chronic low-back pain. In: The Cochrane Library, Issue 1. Update Software, Oxford [PubMed]
147. Pal P, Mangion P, Hossian MA, Diffey L. A controlled trial of continuous lumbar traction in the treatment of back pain and sciatica. Br J Rheumatol. 1986;25:181–183. doi: 10.1093/rheumatology/25.2.181. [PubMed] [Cross Ref]
148. Pallay RM, Seger W, Adler JL, Ettlinger RE, Quaidoo EA, Lipetz R, O’Brien K, Mucciola L, Skalky CS, Petruschke RA, Bohidar NR, Geba GP. Etoricoxib reduced pain and disability and improved quality of life in patients with chronic low back pain: a 3 month, randomized, controlled trial. Scand J Rheumatol. 2004;33:257–266. doi: 10.1080/03009740410005728. [PubMed] [Cross Ref]
149. Penrose KW, Chook K, Stump JL. Acute and chronic effects of pneumatic lumbar support on muscular strength, flexibility, and functional impairment index. Sports Train Med Rehabil. 1991;2:121–129.
150. Penttinen J, Nevala-Puranen N, Airaksinen O, Jaaskelainen M, Sintonen H, Takala J. Randomized controlled trial of back school with and without peer support. J Occup Rehabil. 2002;12:21–29. doi: 10.1023/A:1013594103133. [PubMed] [Cross Ref]
151. Pheasant H, Bursk A, Goldfarb J, Azen SP, Weiss JN, Borelli L. Amitriptyline and chronic low back pain: a randomised double-blind crossover study. Spine. 1983;8:552–557. doi: 10.1097/00007632-198307000-00012. [PubMed] [Cross Ref]
152. Postacchini F, Facchini M, Palieri P. Efficacy of various forms of conservative treatment in low-back pain. A comparative study . Neuro-Orthopedics. 1988;6:28–35.
153. Pratzel HG, Alken R-G, Ramm S. Efficacy and tolerance of repeated oral doses of tolperisone hydrochloride in the treatment of painful reflex muscle spasm: results of a prospective placebo-controlled double-blind trial. Pain. 1996;67:417–425. doi: 10.1016/0304-3959(96)03187-9. [PubMed] [Cross Ref]
154. Preyde M. Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial. Can Med Assoc J. 2000;162:1815–1820. [PMC free article] [PubMed]
155. Rasmussen GG. Manipulation in treatment of low back pain: a randomized clinical trial. Man Med. 1979;1:8–10.
156. Rasmussen-Barr E, Nilsson-Wikmar L, Arvidsson I. Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain. Man Ther. 2003;8:233–241. doi: 10.1016/S1356-689X(03)00053-5. [PubMed] [Cross Ref]
157. Reust P, Chantraine A, Vischer TL. Traitement par tractions mecaniques des lombosciatalgies avec ou sans déficit neurologique. Schweiz Med Wochenschr. 1988;118:271–274. [PubMed]
158. Risch SV, Norvell NK, Pollock Ml, Risch ED, Langer H, Fulton M. Lumbar strengthening in chronic low back pain patients: physiologic and psychological benefits. Spine. 1993;18:232–238. doi: 10.1097/00007632-199302000-00010. [PubMed] [Cross Ref]
159. Rozenberg S, Delval C, Rezvani Y. Bed rest or normal activity for patients with acute low back pain: a randomized controlled trial. Spine. 2002;27:1487–1493. doi: 10.1097/00007632-200207150-00002. [PubMed] [Cross Ref]
160. Sackett D (1997) Evidence based medicine. Churchill Livingstone
161. Salerno SM, Browning R, Jackson JL. The effect of antidepressant treatment in chronic back pain: a meta-analysis. Arch Intern Med. 2002;162:19–24. doi: 10.1001/archinte.162.1.19. [PubMed] [Cross Ref]
162. Salzmann E, Pforringer W, Paal G, Gierend M. Treatment of chronic low-back syndrome with tetrazepam in a placebo controlled double-blind trial. J Drug Dev. 1992;4:219–228.
163. Schonstein E, Kenny D, Keating J, Koes B, Herbert RD. Physical conditioning programs for workers with back and neck pain: a Cochrane systematic review. Spine. 2003;28:E391–E395. doi: 10.1097/01.BRS.0000092482.76386.97. [PubMed] [Cross Ref]
164. Serferlis T, Lindholm L, Nemeth G. Cost-minimization analysis of three conservative treatment programmes in 180 patients sick-listed for acute low-back pain. Scand J Prim Health Care. 2000;18:53–57. doi: 10.1080/02813430050202578. [PubMed] [Cross Ref]
165. Silverstein FE, Faich G, Goldstein JL, Simon LS, Pincus T, Whelton A, Makuch R, Eisen G, Agrawal NM, Stenson WF, Burr AM, Zhao WW, Kent JD, Lefkowith JB, Verburg KM, Geis GS. Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study. A randomized controlled trial. Celecoxib long-term arthritis safety study. JAMA. 2000;284:1247–1255. doi: 10.1001/jama.284.10.1247. [PubMed] [Cross Ref]
166. Skargren EI, Oberg BE, Carlsson PG, Gade M. Cost and effectiveness analysis of chiropractic and physiotherapy treatment for low back and neck pain. Six-month follow-up. Spine. 1997;22:2167–2177. [PubMed]
167. Soukup MG, Glomsrod B, Lonn JH, Bo K, Larsen S, Fordyce WE. The effect of a Mensendieck exercise program as secondary prophylaxis for recurrent low back pain: a randomized, controlled trial with 12-month follow-up. Spine. 1999;24:1585–1592. doi: 10.1097/00007632-199908010-00013. [PubMed] [Cross Ref]
168. Soukup M, Lonn J, Glomsrod B, Bo K, Larsen S. Exercises and education as secondary prevention for recurrent low back pain. Physiother Res Int. 2001;6:27–39. doi: 10.1002/pri.211. [PubMed] [Cross Ref]
169. Staal JB, Hlobil H, Twisk JWR, Smid T, Köke AJA. Graded activity for low back pain in occupational health care: a randomized controlled trial. Ann Intern Med. 2004;140:77–84. [PubMed]
170. Staiger O, Barak G, Sullivan MD, Deyo RA. Systematic review of antidepressants in the treatment of chronic low back pain. Spine. 2003;28:2540–2545. doi: 10.1097/01.BRS.0000092372.73527.BA. [PubMed] [Cross Ref]
171. Stankovic R, Johnell O. Conservative treatment of acute low back pain. A prospective randomized trial: McKenzie method of treatment versus patient education in “Mini Back School” Spine. 1990;15:120–123. doi: 10.1097/00007632-199002000-00014. [PubMed] [Cross Ref]
172. Stankovic R, Johnell O. Conservative treatment of acute low-back pain: a 5-year follow-up study of two methods of treatment. Spine. 1995;20:469–472. doi: 10.1097/00007632-199502001-00010. [PubMed] [Cross Ref]
173. Storheim K, Brox JI, Holm I, Koller AK, Bo K. Intensive group training versus cognitive intervention in sub-acute low back pain: short-term results of a single-blind randomized controlled trial. J Rehabil Med. 2003;35:132–140. doi: 10.1080/16501970310010484. [PubMed] [Cross Ref]
174. Stuckey SJ, Jacobs A, Goldfarb J. EMG biofeedback training, relaxation training, and placebo for the relief of chronic back pain. Percept Mot Skills. 1986;63:1023–1036. [PubMed]
175. Sweetman BJ, Baig A, Parsons DL. Mefenamic acid, chlormezanone-paracetamol, ethoheptazine-aaspirin-meprobamate: a comparative study in acute low back pain. Br J Clin Pract. 1987;41:619–624. [PubMed]
176. Sweetman BJ, Heinrich I, Anderson JAD. A randomized controlled trial of exercises, short wave diathermy, and traction for low back pain, with evidence of diagnosis-related response to treatment. J Ortho Rheumatol. 1993;6:159–166.
177. Szpalski M, Hayez JP. How many days of bed rest for acute low back pain? Objective assessment of trunk function. Eur Spine J. 1992;1:29–31. doi: 10.1007/BF00302139. [PubMed] [Cross Ref]
178. Szpalski M, Hayez JP. Objective functional assessment of the efficacy of tenoxicam in the treatment of acute low back pain: a double blind placebo-controlled study. Br J Rheumatol. 1994;33:74–78. doi: 10.1093/rheumatology/33.1.74. [PubMed] [Cross Ref]
179. Tesio L, Merlo A. Autotraction versus passive traction: an open controlled study in lumbar disc herniation. Arch Phys Med Rehabil. 1993;74:871–876. doi: 10.1016/0003-9993(93)90015-3. [PubMed] [Cross Ref]
180. Topol EJ. Failing the public health—rofecoxib, Merck, and the FDA. N Engl J Med. 2004;351:1707–1709. doi: 10.1056/NEJMp048286. [PubMed] [Cross Ref]
181. Torstensen TA, Ljunggren AE, Meen HD, Odland E, Mowinckel P, Geijerstam SA. Efficiency and costs of medical exercise therapy, conventional physiotherapy, and self-exercise in patients with chronic low back pain: a pragmatic, randomized, single-blinded, controlled trial with 1-year follow-up. Spine. 1998;23:2616–2624. doi: 10.1097/00007632-199812010-00017. [PubMed] [Cross Ref]
182. Triano JJ, McGregor M, Hondras MA, Brennan PC. Manipulative therapy versus education in chronic low back pain. Spine. 1995;20:948–955. doi: 10.1097/00007632-199504150-00013. [PubMed] [Cross Ref]
183. Turner JA. Comparison of group progressive-relaxation training and cognitive–behavioral group therapy for chronic low back pain. J Consult Clin Psychol. 1982;50:757–765. doi: 10.1037/0022-006X.50.5.757. [PubMed] [Cross Ref]
184. Turner JA, Clancy S. Comparison of operant–behavioral and cognitive–behavioral group treatment for chronic low back pain. J Consult Clin Psychol. 1988;56:261–266. doi: 10.1037/0022-006X.56.2.261. [PubMed] [Cross Ref]
185. Turner JA, Jensen MP. Efficacy of cognitive therapy for chronic low back pain. Pain. 1993;52:169–177. doi: 10.1016/0304-3959(93)90128-C. [PubMed] [Cross Ref]
186. Turner JA, Clancy S, McQuade KJ, Cardenas DD. Effectiveness of behavioral therapy for chronic low back pain: a component analysis. J Consult Clin Psychol. 1990;58:573–579. doi: 10.1037/0022-006X.58.5.573. [PubMed] [Cross Ref]
187. Underwood MR, Morgan J. The use of a back class teaching extension exercises in the treatment of acute low back pain in primary care. Fam Pract. 1998;15:9–15. doi: 10.1093/fampra/15.1.9. [PubMed] [Cross Ref]
188. Valle-Jones JC, Walsh H, O’Hara J, O’Hara H, Davey NB, Hopkin-Richards H. Controlled trial of a back support in patients with non-specific low back pain. Curr Med Res Opin. 1992;12:604–613. [PubMed]
189. Heijden GJMG, Beurskens AJHM, Dirx MJM, Bouter LM, Lindeman E. Efficacy of lumbar traction: a randomised clinical trial. Physiotherapy. 1995;81:29–35. doi: 10.1016/S0031-9406(05)67032-0. [Cross Ref]
190. Tulder MW, Scholten RJPM, Koes BW, Deyo RA. Non-steroidal anti-inflammatory drugs for low back pain: a systematic review within the framework of the Cochrane Collaboration. Spine. 2000;25:2501–2513. doi: 10.1097/00007632-200010010-00013. [PubMed] [Cross Ref]
191. Tulder M, Furlan A, Bombardier C, Bouter L. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine. 2003a;28:1290–1299. doi: 10.1097/00007632-200306150-00014. [PubMed] [Cross Ref]
192. Tulder MW, Touray T, Furlan AD, Solway S, Bouter LM. Muscle relaxants for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration. Spine. 2003b;28:1978–1992. doi: 10.1097/01.BRS.0000090503.38830.AD. [PubMed] [Cross Ref]
193. Tulder M, Furlan A, Gagnier J. Complementary and alternative therapies for low back pain. Ballieres Best Pract Rheumatol. 2005;19:639–654. doi: 10.1016/j.berh.2005.03.006. [PubMed] [Cross Ref]
194. Videman T, Heikkila J, Partanen T. Double-blind parallel study of meptazinol versus diflunisal in the treatment of lumbago. Curr Med Res Opin. 1984;9:246–252. [PubMed]
195. Vollenbroek-Hutten MMR, Hermens HJ, Wever D, Gorter M, Rinket J, IJzerman MJ. Differences in outcome of a multidisciplinary treatment between subgroups of chronic low back pain patients defined using two multiaxial assessment instruments: the multidimensional pain inventory and lumbar dynamometry. Clin Rehabil. 2004;18:566–579. doi: 10.1191/0269215504cr772oa. [PubMed] [Cross Ref]
196. Vroomen PJAJ, Marc CTFM, Wilmink JT, Kester ADM, Knottnerus JA. Lack of effectiveness of bed rest for sciatica. N Engl J Med. 1999;340:418–423. doi: 10.1056/NEJM199902113400602. [PubMed] [Cross Ref]
197. Waagen GN, Haldeman S, Cook G, Lopez D, DeBoer KF. Short term trial of chiropractic adjustments for the relief of chronic low back pain. Manual Med. 1986;2:63–67.
198. Waddell G. A new clinical model for the treatment of low-back pain. Spine. 1987;12:632–644. doi: 10.1097/00007632-198709000-00002. [PubMed] [Cross Ref]
199. Walker L, Svenkerud T, Weber H. Traksjonsbehandling ved lumbago-ischias. En kontrollert undersolske med Spina-trac. Fysioterapeuten. 1982;49:161–163.
200. Ward N, Bokan JA, Phillips M, Benedetti C, Butler S, Spengler D. Antidepressants in concomitant chronic back pain and depression: doxepin and desipramine compared. J Clin Psychiatry. 1984;45:54–57. [PubMed]
201. Waterworth RF, Hunter A. An open study of diflunisal, conservative and manipulative therapy in the management of acute mechanical low back pain. N Z Med J. 1985;95:372–375. [PubMed]
202. Weber H. Traction therapy in sciatica due to disc prolapse. J Oslo City Hosp. 1973;23:167–176. [PubMed]
203. Weber H, Aasand G. The effect of phenylbutazone on patients with acute lumbago-sciatica: a double blind trial. J Oslo City Hosp. 1980;30:69–72. [PubMed]
204. Weber H, Ljunggren E, Walker L. Traction therapy in patients with herniated lumbar intervertebral discs. J Oslo City Hosp. 1984;34:61–70. [PubMed]
205. Weber H, Holme I, Amlie E. The natural course of acute sciatica with nerve root symptoms in a double-blind placebo-controlled trial evaluating the effect of piroxicam. Spine. 1993;18:1433–1438. doi: 10.1097/00007632-199312000-00021. [PubMed] [Cross Ref]
206. Werners R, Pynsent PB, Bulstrode CJK. Randomized trial comparing interferential therapy with motorized lumbar traction and massage in the management of low back pain in a primary care setting. Spine. 1999;24:1579–1584. doi: 10.1097/00007632-199908010-00012. [PubMed] [Cross Ref]
207. Wiesel SW, Cuckler JM, Deluca F, Jones F, Zeide MS, Rothman RH. Acute low back pain: an objective analysis of conservative therapy. Spine. 1980;5:324–330. doi: 10.1097/00007632-198007000-00006. [PubMed] [Cross Ref]
208. Wilkinson MJ. Does 48 hours’ bed rest influence the outcome of acute low back pain? Br J Gen Pract. 1995;45:481–484. [PMC free article] [PubMed]
209. Wörz R, Bolten W, Heller J, Krainick U, Pergande G. Flupirtin im vergleich zu chlormezanon und placebo bei chronische muskuloskelettalen ruckenschmerzen. Fortschritte der Therapie. 1996;114(35–36):500–504. [PubMed]
210. Wreje U, Nordgren B, Aberg H. Treatment of pelvic joint dysfunction in primary care—a controlled study. Scand J Prim Health Care. 1992;10:310–315. doi: 10.3109/02813439209014080. [PubMed] [Cross Ref]
211. Yelland MJ, Glasziou PP, Bogduk N, Schluter PJ, McKernon M. Prolotherapy injections, saline injections, and exercises for chronic low-back pain: a randomized trial. Spine. 2004;29:9–16. doi: 10.1097/01.BRS.0000105529.07222.5B. [PubMed] [Cross Ref]
212. Zachrisson Forsell M. The back school. Spine. 1981;6:104–106. doi: 10.1097/00007632-198101000-00022. [PubMed] [Cross Ref]
213. Zylbergold RS, Piper MC. Lumbar disc disease: comparative analysis of physical therapy treatments. Arch Phys Med Rehabil. 1981;62:176–179. [PubMed]

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Additional Topics: Sciatica

 

Sciatica is referred to as a collection of symptoms rather than a single type of injury or condition. The symptoms are characterized as radiating pain, numbness and tingling sensations from the sciatic nerve in the lower back, down the buttocks and thighs and through one or both legs and into the feet. Sciatica is commonly the result of irritation, inflammation or compression of the largest nerve in the human body, generally due to a herniated disc or bone spur.

 

blog picture of cartoon paperboy big news

 

IMPORTANT TOPIC: EXTRA EXTRA: Treating Sciatica Pain

 

 

Post Disclaimer

Professional Scope of Practice *

The information herein on "Non-Invasive Treatment Modalities for Back Pain" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*

Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card

Comments are closed.

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

Functional Rehabilitation El Paso Chiropractor
Injury & Functional Fitness Rehabiliation Center: Taking Functional Recovery To A New Level - No Matter Age or Impairment.
PODCAST: Ryan Welage and Alexander Jimenez, both medical students at the National University of Health Sciences, discuss the several new approaches that they developed in order to help people continue to engage and participate in exercise from the comfort of their own homes. Using their advanced understanding of functional medicine, biomechanics, and nutrition, they undertake explaining simple methods and techniques for complex movement protocols. Moreover, Alexander Jimenez and Ryan Welage discuss how diet can be an essential element in overall health and wellness. Dr. Alex Jimenez offers additional guidelines with the Functional Fitness Fellas, among further advice. - Podcast Insight

If you have enjoyed this video and/or we have helped you in any way 
please feel free to subscribe and share us. 

Thank You & God Bless.   
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
- 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Ryan Welage and Alexander Jimenez, Both Medical Students discuss new approaches to working out. Using their advanced understanding with functional movements they undertake explaining simple methods to complex movement protocols.
-
If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

2 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS5EQkE3RTJCQTJEQkFBQTcz

The Functional Fitness Fellas | What is it? & Who Are They?

Dr. Alexander Jimenez 103 views May 17, 2020 2:46 pm

PODCAST: Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, and Astrid Ornelas discuss a variety of natural treatment methods and techniques in treating inflammation as the primary focus of this podcast video. Dr. Alex Jimenez, Kenna Vaughn, and Astrid Ornelas present a discussion of natural ways to treat inflammatory cascades, including nutrition, diet, and nutraceuticals, among others. Knowing what are the best supplements are also presented as the primary focus of this podcast video. Nutraceuticals are considered to be a safe and effective alternative treatment approach that is well researched by scientists to help promote health and wellness. - Podcast Insight

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us. 

Thank You & God Bless.   
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
- 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

PODCAST: Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, and Astrid Ornelas discuss a variety of natural treatment methods and techniques in treating inflammation as the primary focus of this podcast video. Dr. Alex Jimenez, Kenna Vaughn, and Astrid Ornelas present a discussion of natural ways to treat inflammatory cascades, including nutrition, diet, and nutraceuticals, among others. Knowing what are the best supplements are also presented as the primary focus of this podcast video. Nutraceuticals are considered to be a safe and effective alternative treatment approach that is well researched by scientists to help promote health and wellness. - Podcast Insight

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

8 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS43QzNCNkZENzIyMDY2MjZB

Treating Inflammation Naturally | El Paso, Tx (2020)

Dr. Alexander Jimenez 165 views April 3, 2020 8:27 pm

Chronic back pain is a well-known health issue which unfortunately commonly affects many people throughout their lifetime. From chronic neck pain and back pain to widespread chronic pain symptoms associated with fibromyalgia, these painful symptoms can ultimately affect an individual's overall health and wellness as well as their quality of life. Dr. Alex Jimenez is a chiropractor, or doctor of chiropractic (DC), who focuses on the diagnosis, treatment, and prevention of a variety of health issues, including chronic pain. Patients tell their stories and describe how Dr. Alex Jimenez has helped them recover their overall quality of life as well as their health and wellness. The patients highly recommend Dr. Alex Jimenez as the non-surgical choice for chronic pain, among other health issues.  

If you have enjoyed this video and/or we have helped you in any way 
please feel free to subscribe and share us. 

Thank You & God Bless.   
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
- 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Chronic back pain is a well-known health issue which unfortunately commonly affects many people throughout their lifetime. From chronic neck pain and back pain to widespread chronic pain symptoms associated with fibromyalgia, these painful symptoms can ultimately affect an individual's overall health and wellness as well as their quality of life. Dr. Alex Jimenez is a chiropractor, or doctor of chiropractic (DC), who focuses on the diagnosis, treatment, and prevention of a variety of health issues, including chronic pain. Patients tell their stories and describe how Dr. Alex Jimenez has helped them recover their overall quality of life as well as their health and wellness. The patients highly recommend Dr. Alex Jimenez as the non-surgical choice for chronic pain, among other health issues.

If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS4zMUEyMkQwOTk0NTg4MDgw

Chronic *BACK PAIN* Therapy | El Paso, Tx (2019)

Dr. Alexander Jimenez 66 views June 14, 2019 4:51 pm

Sciatica, or sciatic nerve pain, is a common health issue which can affect approximately 8 out of 10 people throughout their lifetimes. Patients describe how their back pain affected their ability to engage in their everyday physical activities. Truide Torres discusses how she struggled with back pain during her pregnancy. Dionicio Espinoza discusses how his job as a truck driver can trigger his back pain. Patients recommend chiropractic care with Dr. Alex Jimenez, DC, in El Paso, TX, to treat sciatica, or sciatic nerve pain, and back pain.

If you have enjoyed this video and/or we have helped you in any way 
please feel free to subscribe and share us. 

Thank You & God Bless.   
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
- 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Sciatica, or sciatic nerve pain, is a common health issue which can affect approximately 8 out of 10 people throughout their lifetimes. Patients describe how their back pain affected their ability to engage in their everyday physical activities. Truide Torres discusses how she struggled with back pain during her pregnancy. Dionicio Espinoza discusses how his job as a truck driver can trigger his back pain. Patients recommend chiropractic care with Dr. Alex Jimenez, DC, in El Paso, TX, to treat sciatica, or sciatic nerve pain, and back pain.

If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS5CQkEwRDA0MDkwNUM2MDY1

The *SCIATICA* Specialist | El Paso, Tx (2019)

Dr. Alexander Jimenez 240 views May 24, 2019 4:56 pm

April Hermosillo achieves overall health and wellness every day by following proper nutrition and engaging in exercises or physical activities. As a regular fitness participant, however, April Hermosillo can experience back and low back pain which ultimately affects even her most basic daily tasks. April Hermosillo struggled with spine health issues and sciatica before she received chiropractic care. Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Alex Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.

If you have enjoyed this video and/or we have helped you in any way 
please feel free to subscribe and share us. 

Thank You & God Bless.   
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
- 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

April Hermosillo achieves overall health and wellness every day by following proper nutrition and engaging in exercises or physical activities. As a regular fitness participant, however, April Hermosillo can experience back and low back pain which ultimately affects even her most basic daily tasks. April Hermosillo struggled with spine health issues and sciatica before she received chiropractic care. Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Alex Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.

If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

1 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS42Qzk5MkEzQjVFQjYwRDA4

Personalized *SPINE & SCIATICA* Treatment | El Paso, Tx (2019)

Dr. Alexander Jimenez 114 views March 29, 2019 1:21 pm

Sciatica is a collection of symptoms characterized by pain which extends down the length of the legs from the lower back. Approximately 90 percent of sciatica, or sciatic nerve pain, develops when a spinal disc herniation compresses a spinal nerve along the lumbar spine. Piriformis syndrome and pregnancy are other common causes of sciatica. Chiropractic care is an alternative, treatment option which focuses on the treatment of injuries and/or conditions associated with the musculoskeletal and nervous system. Patients describe how Dr. Alex Jimenez has helped them achieve sciatica relief through chiropractic care. Edgar M. Reyes and Truide Torres highly recommend Dr. Alex Jimenez as the non-surgical choice for sciatica.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.  

Thank You & God Bless.    
Dr. Alex Jimenez DC, MSACP, ATN, IFMCP. CIFM, CCST 

Subscribe: http://bit.ly/drjyt 

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/ 
Facebook Sports Page: https://www.facebook.com/pushasrx/ 
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ 
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ 
Facebook Fitness Center Page: https://www.facebook.com/justplayfitness 

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ 

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ 

Information:  
Clinical Site: https://www.dralexjimenez.com 
Injury Site: https://personalinjurydoctorgroup.com 
Sports Injury Site: https://chiropracticscientist.com 
Back Injury Site: https://www.elpasobackclinic.com 
Rehabilitation Center: https://www.pushasrx.com 
Functional Medicine: https://wellnessdoctorrx.com 
-  

Twitter: https://twitter.com/dralexjimenez 
Twitter: https://twitter.com/crossfitdoctor

Sciatica is a collection of symptoms characterized by pain which extends down the length of the legs from the lower back. Approximately 90 percent of sciatica, or sciatic nerve pain, develops when a spinal disc herniation compresses a spinal nerve along the lumbar spine. Piriformis syndrome and pregnancy are other common causes of sciatica. Chiropractic care is an alternative, treatment option which focuses on the treatment of injuries and/or conditions associated with the musculoskeletal and nervous system. Patients describe how Dr. Alex Jimenez has helped them achieve sciatica relief through chiropractic care. Edgar M. Reyes and Truide Torres highly recommend Dr. Alex Jimenez as the non-surgical choice for sciatica.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS4zMEQ1MEIyRTFGNzhDQzFB

Advanced Sciatica Treatment | El Paso, Tx (Chiropractor)

Dr. Alexander Jimenez 40 views March 22, 2019 4:17 pm

Truide Torres recibe atención quiropráctica con el Dr. Alex Jimenez por su dolor en el nervio ciático. La ciática es una colección de síntomas caracterizados por dolor lumbar que se irradia a través de los muslos hacia las piernas, rodillas y pies. El dolor del nervio ciático puede afectar uno o ambos lados de las extremidades inferiores. Truide Torres luchó para participar en sus actividades físicas diarias debido a sus síntomas de ciática. A través de ajustes espinales y manipulaciones manuales, el Dr. Alex Jimenez restauró cuidadosamente la alineación original de su columna, aliviando sus síntomas dolorosos. Truide Torres recomienda al Dr. Alex Jimenez y su personal como la opción no quirúrgica para la ciática.

Recomiéndanos: Si te ha gustado este video y / o te hemos ayudado de alguna manera, no dudes en recomendarnos. Gracias, Dios te bendiga.

Recommend: Dr. Alex Jimenez – Chiropractor 
Health Grades: http://www.healthgrades.com/review/3SDJ4 
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/ 
Facebook Sports Page: https://www.facebook.com/pushasrx/ 
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ 
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ 
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ 

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ 

Information: Dr. Alex Jimenez – Chiropractor 
Clinical Site: https://www.dralexjimenez.com 
Injury Site: https://personalinjurydoctorgroup.com 
Sports Injury Site: https://chiropracticscientist.com 
Back Injury Site: https://www.elpasobackclinic.com 

Pinterest: https://www.pinterest.com/dralexjimenez/ 
Twitter: https://twitter.com/dralexjimenez 
Twitter: https://twitter.com/crossfitdoctor 

Recommend: PUSH-as-Rx ®™ 
Rehabilitation Center: https://www.pushasrx.com 
Facebook: https://www.facebook.com/justplayfitness 
PUSH-as-Rx: www.pushasrx.com

Truide Torres recibe atención quiropráctica con el Dr. Alex Jimenez por su dolor en el nervio ciático. La ciática es una colección de síntomas caracterizados por dolor lumbar que se irradia a través de los muslos hacia las piernas, rodillas y pies. El dolor del nervio ciático puede afectar uno o ambos lados de las extremidades inferiores. Truide Torres luchó para participar en sus actividades físicas diarias debido a sus síntomas de ciática. A través de ajustes espinales y manipulaciones manuales, el Dr. Alex Jimenez restauró cuidadosamente la alineación original de su columna, aliviando sus síntomas dolorosos. Truide Torres recomienda al Dr. Alex Jimenez y su personal como la opción no quirúrgica para la ciática.

Recomiéndanos: Si te ha gustado este video y / o te hemos ayudado de alguna manera, no dudes en recomendarnos. Gracias, Dios te bendiga.

Recommend: Dr. Alex Jimenez – Chiropractor
Health Grades: http://www.healthgrades.com/review/3SDJ4
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com

Pinterest: https://www.pinterest.com/dralexjimenez/
Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™
Rehabilitation Center: https://www.pushasrx.com
Facebook: https://www.facebook.com/PUSHftinessathletictraining/
PUSH-as-Rx: http://www.push4fitness.com/team/

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS40QzRDOEU0QUYwNUIxN0M1

Tratamiendo para dolor de nervio Ciático | El Paso, Tx

Dr. Alexander Jimenez 95 views December 17, 2018 12:44 pm

Sciatica is a collection of symptoms characterized by pain, discomfort, tingling and burning sensations, and numbness which often extends from the low back, down the buttocks and thighs, into the knee and the foot. Sciatica is caused by the compression of the sciatic nerve, the largest and longest nerve in the human body. Sciatic nerve pain can develop due to an injury and/or aggravated condition. Patients diagnosed with sciatica describe their symptoms and how these affected their daily lives. Dr. Alex Jimenez and his staff have provided pain relief to many patients experiencing sciatica. Chiropractic care can help restore the original alignment of the spine to help improve sciatica. Dr. Alex Jimenez is the non-surgical choice for a variety of health issues, including sciatica, or sciatic nerve pain.

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You & God Bless.  

Recommend: Dr. Alex Jimenez – Chiropractor 
Health Grades: http://www.healthgrades.com/review/3SDJ4 
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/ 
Facebook Sports Page: https://www.facebook.com/pushasrx/ 
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ 
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ 
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ 

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ 

Information: Dr. Alex Jimenez – Chiropractor 
Clinical Site: https://www.dralexjimenez.com 
Injury Site: https://personalinjurydoctorgroup.com 
Sports Injury Site: https://chiropracticscientist.com 
Back Injury Site: https://www.elpasobackclinic.com 

Pinterest: https://www.pinterest.com/dralexjimenez/ 
Twitter: https://twitter.com/dralexjimenez 
Twitter: https://twitter.com/crossfitdoctor 

Recommend: PUSH-as-Rx ®™ 
Rehabilitation Center: https://www.pushasrx.com 
Facebook: https://www.facebook.com/justplayfitness 
PUSH-as-Rx: www.pushasrx.com

Sciatica is a collection of symptoms characterized by pain, discomfort, tingling and burning sensations, and numbness which often extends from the low back, down the buttocks and thighs, into the knee and the foot. Sciatica is caused by the compression of the sciatic nerve, the largest and longest nerve in the human body. Sciatic nerve pain can develop due to an injury and/or aggravated condition. Patients diagnosed with sciatica describe their symptoms and how these affected their daily lives. Dr. Alex Jimenez and his staff have provided pain relief to many patients experiencing sciatica. Chiropractic care can help restore the original alignment of the spine to help improve sciatica. Dr. Alex Jimenez is the non-surgical choice for a variety of health issues, including sciatica, or sciatic nerve pain.

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You & God Bless.

Recommend: Dr. Alex Jimenez – Chiropractor
Health Grades: http://www.healthgrades.com/review/3SDJ4
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com

Pinterest: https://www.pinterest.com/dralexjimenez/
Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™
Rehabilitation Center: https://www.pushasrx.com
Facebook: https://www.facebook.com/PUSHftinessathletictraining/
PUSH-as-Rx: http://www.push4fitness.com/team/

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS5DNkMwRUI2MkI4QkI4NDFG

Rehabilitation for Sciatica Pain | El Paso, Tx.

Dr. Alexander Jimenez 42 views November 30, 2018 5:33 pm

A common health issue frequently treated by Dr. Alex Jimenez, sciatica is a collection of symptoms caused by the compression or impingement of the sciatic nerve, the largest and longest nerve in the human body. The most common symptoms of sciatica include low back pain, hip pain, and radiating pain which extends from the buttocks down into the feet. Dr. Alex Jimenez and his staff have helped many patients achieve pain relief from their sciatica symptoms through the use of a variety of treatment methods and techniques, educating them about their health issues. Dr. Alex Jimenez is the non-surgical choice for sciatic nerve pain. 

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You & God Bless.  

Recommend: Dr. Alex Jimenez – Chiropractor 
Health Grades: http://www.healthgrades.com/review/3SDJ4 
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/ 
Facebook Sports Page: https://www.facebook.com/pushasrx/ 
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/ 
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/ 
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2 
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ 

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/ 

Information: Dr. Alex Jimenez – Chiropractor 
Clinical Site: https://www.dralexjimenez.com 
Injury Site: https://personalinjurydoctorgroup.com 
Sports Injury Site: https://chiropracticscientist.com 
Back Injury Site: https://www.elpasobackclinic.com 

Pinterest: https://www.pinterest.com/dralexjimenez/ 
Twitter: https://twitter.com/dralexjimenez 
Twitter: https://twitter.com/crossfitdoctor 

Recommend: PUSH-as-Rx ®™ 
Rehabilitation Center: https://www.pushasrx.com 
Facebook: https://www.facebook.com/justplayfitness 
PUSH-as-Rx: www.pushasrx.com

A common health issue frequently treated by Dr. Alex Jimenez, sciatica is a collection of symptoms caused by the compression or impingement of the sciatic nerve, the largest and longest nerve in the human body. The most common symptoms of sciatica include low back pain, hip pain, and radiating pain which extends from the buttocks down into the feet. Dr. Alex Jimenez and his staff have helped many patients achieve pain relief from their sciatica symptoms through the use of a variety of treatment methods and techniques, educating them about their health issues. Dr. Alex Jimenez is the non-surgical choice for sciatic nerve pain.

Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You & God Bless.

Recommend: Dr. Alex Jimenez – Chiropractor
Health Grades: http://www.healthgrades.com/review/3SDJ4
Facebook Clinical Page: https://www.facebook.com/dralexjimenez/reviews/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: Dr. Alex Jimenez – Chiropractor
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com

Pinterest: https://www.pinterest.com/dralexjimenez/
Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

Recommend: PUSH-as-Rx ®™
Rehabilitation Center: https://www.pushasrx.com
Facebook: https://www.facebook.com/PUSHftinessathletictraining/
PUSH-as-Rx: http://www.push4fitness.com/team/

0 0

YouTube Video UEwzeUg1RlctbFNNT2Fac3o4VGxxUE9rZW1PTUJYNUxxLS4zQzFBN0RGNzNFREFCMjBE

Education About Sciatica | El Paso, Tx

Dr. Alexander Jimenez 85 views November 21, 2018 5:44 pm

Discover the repercussions of overlooking injuries in this eye-opening video. From ankle sprains to severe accidents, witness the unseen consequences that affect the body's dynamics. Join us as we delve into the interconnectedness of pain and explore why prompt assessment and treatment are crucial for true healing.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Discover the repercussions of overlooking injuries in this eye-opening video. From ankle sprains to severe accidents, witness the unseen consequences that affect the body's dynamics. Join us as we delve into the interconnectedness of pain and explore why prompt assessment and treatment are crucial for true healing.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLlBieXc1eUFXUWJz

Unlocking Wellness: The Consequences of Ignoring Care | El Paso, Tx (2024)

Dr. Alexander Jimenez views March 20, 2024 8:44 am

Today we discuss how chiropractic care can be a powerful tool in your personal injury rehabilitation journey.

We will talk about the benefits of chiropractic care for pain relief and mobility improvement.
How chiropractors work alongside other healthcare professionals for a holistic recovery plan.
Getting the most out of your chiropractic treatment after an injury, and more!

Get back to feeling your best, naturally!

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.       
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*     

Functional & Integrative Health Live Events *   
✅ Stress Hormones & Health 
✅ Gut Health, Inflammation & Auto-Immunity* 
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation 
✅ Diabetes & Autoimmunity* 
✅ Weight Loss 
✅ Body Composition Analysis
✅ Thyroid Dysfunction* 
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility 
✅ Injury Recovery Programs 
✅ Complex Lower Back Pain Recovery Plans 
✅ Severe Sciatica Syndromes 
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice) 
 
We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Today we discuss how chiropractic care can be a powerful tool in your personal injury rehabilitation journey.

We will talk about the benefits of chiropractic care for pain relief and mobility improvement.
How chiropractors work alongside other healthcare professionals for a holistic recovery plan.
Getting the most out of your chiropractic treatment after an injury, and more!

Get back to feeling your best, naturally!

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *
✅ Stress Hormones & Health
✅ Gut Health, Inflammation & Auto-Immunity*
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation
✅ Diabetes & Autoimmunity*
✅ Weight Loss
✅ Body Composition Analysis
✅ Thyroid Dysfunction*
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility
✅ Injury Recovery Programs
✅ Complex Lower Back Pain Recovery Plans
✅ Severe Sciatica Syndromes
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLkpmZkpIUE9OQy00

Personal Injury Rehabilitation | El Paso, Tx (2024)

Dr. Alexander Jimenez views March 12, 2024 8:34 am

Explore the transformative power of movement as chiropractors unveil the art of healing through motion. Discover how gentle adjustments and therapeutic exercises pave the path to holistic wellness in this enlightening journey into the world of chiropractic care.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Explore the transformative power of movement as chiropractors unveil the art of healing through motion. Discover how gentle adjustments and therapeutic exercises pave the path to holistic wellness in this enlightening journey into the world of chiropractic care.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLkdLUVJ5V3dWeXpV

Movement Medicine: Chiropractic Care | El Paso, Tx (2024)

Dr. Alexander Jimenez views March 10, 2024 1:27 pm

#alternativemedicine

Dr. Alexander Jimenez views February 29, 2024 5:05 pm

In this video, we delve into the holistic approach of chiropractors, seamlessly blending traditional techniques with modern integrative practices. Discover how chiropractors synergize their expertise with various medical disciplines, offering patients a comprehensive and personalized approach to wellness. From spinal adjustments to nutritional guidance, acupuncture, and mindfulness techniques, witness the transformative power of integrating chiropractic care into the broader spectrum of holistic healthcare.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

In this video, we delve into the holistic approach of chiropractors, seamlessly blending traditional techniques with modern integrative practices. Discover how chiropractors synergize their expertise with various medical disciplines, offering patients a comprehensive and personalized approach to wellness. From spinal adjustments to nutritional guidance, acupuncture, and mindfulness techniques, witness the transformative power of integrating chiropractic care into the broader spectrum of holistic healthcare.

We present, bridge, and connect various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

1 1

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLnV6VjNfQmlRdnlV

Beyond Adjustments: Chiropractic and Integrative Healthcare | El Paso, Tx (2024)

Dr. Alexander Jimenez 26 views February 15, 2024 3:49 pm

Discover expert insights, practical tips, and effective exercises to reclaim your mobility and bid farewell to sciatica discomfort. Whether you're a long-time sufferer or curious about preventative measures, this video is your ultimate guide to achieving a pain-free, active lifestyle. Say goodbye to sciatica and hello to a healthier you! 🚀 #ChiropracticCare #SciaticaRelief #RehabilitationTips

 Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.   

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.       

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.       
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*     

Functional & Integrative Health Live Events *   
✅ Stress Hormones & Health 
✅ Gut Health, Inflammation & Auto-Immunity* 
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation 
✅ Diabetes & Autoimmunity* 
✅ Weight Loss 
✅ Body Composition Analysis
✅ Thyroid Dysfunction* 
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility 
✅ Injury Recovery Programs 
✅ Complex Lower Back Pain Recovery Plans 
✅ Severe Sciatica Syndromes 
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice) 
 
We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Discover expert insights, practical tips, and effective exercises to reclaim your mobility and bid farewell to sciatica discomfort. Whether you're a long-time sufferer or curious about preventative measures, this video is your ultimate guide to achieving a pain-free, active lifestyle. Say goodbye to sciatica and hello to a healthier you! ? #ChiropracticCare #SciaticaRelief #RehabilitationTips

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *
? Stress Hormones & Health
? Gut Health, Inflammation & Auto-Immunity*
? Musculoskeletal Rehabilitation
? Fibromyalgia & Inflammation
? Diabetes & Autoimmunity*
? Weight Loss
? Body Composition Analysis
? Thyroid Dysfunction*
? Autoimmune Disorder*
? Heart Disease & Inflammation*
? Agility & Mobility
? Injury Recovery Programs
? Complex Lower Back Pain Recovery Plans
? Severe Sciatica Syndromes
? Other Complex Health Challenges
? Neutraceutical Recommendations
? Advanced Translational Nutrigenomics*
? Nutrigenomics, Proteomics, Metabalomics
? Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

1 0

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLjJHS0xUTnVCZklB

Reclaim Your Mobility: Chiropractic Care for Sciatica Recovery | El Paso, Tx (2024)

Dr. Alexander Jimenez 43 views January 27, 2024 2:49 pm

Discover the powerful impact of chiropractic solutions in promoting healing and restoring well-being. Join us in exploring the path to recovery and reclaiming your health post-trauma. Your wellness journey starts here!

 Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.   

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.       

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.       
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*     

Functional & Integrative Health Live Events *   
✅ Stress Hormones & Health 
✅ Gut Health, Inflammation & Auto-Immunity* 
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation 
✅ Diabetes & Autoimmunity* 
✅ Weight Loss 
✅ Body Composition Analysis
✅ Thyroid Dysfunction* 
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility 
✅ Injury Recovery Programs 
✅ Complex Lower Back Pain Recovery Plans 
✅ Severe Sciatica Syndromes 
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice) 
 
We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Discover the powerful impact of chiropractic solutions in promoting healing and restoring well-being. Join us in exploring the path to recovery and reclaiming your health post-trauma. Your wellness journey starts here!

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *
? Stress Hormones & Health
? Gut Health, Inflammation & Auto-Immunity*
? Musculoskeletal Rehabilitation
? Fibromyalgia & Inflammation
? Diabetes & Autoimmunity*
? Weight Loss
? Body Composition Analysis
? Thyroid Dysfunction*
? Autoimmune Disorder*
? Heart Disease & Inflammation*
? Agility & Mobility
? Injury Recovery Programs
? Complex Lower Back Pain Recovery Plans
? Severe Sciatica Syndromes
? Other Complex Health Challenges
? Neutraceutical Recommendations
? Advanced Translational Nutrigenomics*
? Nutrigenomics, Proteomics, Metabalomics
? Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

1 0

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLlk5TXh5LXZRNFdz

Chiropractic Care for Healing After Trauma | El Paso, Tx (2024)

Dr. Alexander Jimenez 31 views January 16, 2024 1:55 pm

Discover the transformative journey of injury recovery through chiropractic care. Explore how these healing hands and techniques aid rehabilitation, restoring wellness and vitality. Join us in uncovering the remarkable impact of chiropractic care on the path to recovery and renewed strength.

 Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.   

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.       

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.       
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*     

Functional & Integrative Health Live Events *   
✅ Stress Hormones & Health 
✅ Gut Health, Inflammation & Auto-Immunity* 
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation 
✅ Diabetes & Autoimmunity* 
✅ Weight Loss 
✅ Body Composition Analysis
✅ Thyroid Dysfunction* 
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility 
✅ Injury Recovery Programs 
✅ Complex Lower Back Pain Recovery Plans 
✅ Severe Sciatica Syndromes 
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice) 
 
We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

Discover the transformative journey of injury recovery through chiropractic care. Explore how these healing hands and techniques aid rehabilitation, restoring wellness and vitality. Join us in uncovering the remarkable impact of chiropractic care on the path to recovery and renewed strength.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *
? Stress Hormones & Health
? Gut Health, Inflammation & Auto-Immunity*
? Musculoskeletal Rehabilitation
? Fibromyalgia & Inflammation
? Diabetes & Autoimmunity*
? Weight Loss
? Body Composition Analysis
? Thyroid Dysfunction*
? Autoimmune Disorder*
? Heart Disease & Inflammation*
? Agility & Mobility
? Injury Recovery Programs
? Complex Lower Back Pain Recovery Plans
? Severe Sciatica Syndromes
? Other Complex Health Challenges
? Neutraceutical Recommendations
? Advanced Translational Nutrigenomics*
? Nutrigenomics, Proteomics, Metabalomics
? Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

0 0

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLlktQjBPdmh0OXFV

The Power of Chiropractic Care in Injury Rehabilitation | El Paso, Tx (2024)

Dr. Alexander Jimenez 50 views January 8, 2024 5:33 pm

. Discover how genetics, lifestyle changes, and holistic approaches intersect to redefine wellness. From headaches to genetic predispositions, delve into the interconnected world of health and Functional Medicine’s transformative impact. Uncover the keys to holistic well-being with cutting-edge insights and expert perspectives.

 Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.   

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.       

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.       
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*     

Functional & Integrative Health Live Events *   
✅ Stress Hormones & Health 
✅ Gut Health, Inflammation & Auto-Immunity* 
✅ Musculoskeletal Rehabilitation
✅ Fibromyalgia & Inflammation 
✅ Diabetes & Autoimmunity* 
✅ Weight Loss 
✅ Body Composition Analysis
✅ Thyroid Dysfunction* 
✅ Autoimmune Disorder*
✅ Heart Disease & Inflammation*
✅ Agility & Mobility 
✅ Injury Recovery Programs 
✅ Complex Lower Back Pain Recovery Plans 
✅ Severe Sciatica Syndromes 
✅ Other Complex Health Challenges
✅ Neutraceutical Recommendations
✅ Advanced Translational Nutrigenomics*
✅ Nutrigenomics, Proteomics, Metabalomics
✅ Care Plans (Advanced Clinical Practice) 
 
We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.     

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.     

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.     

It is all about.   

LIVING, LOVING & MATTERING     

Join us in improving your health.     

Blessings,     

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone: 
phone: 915-850-0900   

Licensed in Texas & New Mexico*         

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.     

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.     

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.     
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*     

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information: 
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com 

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

. Discover how genetics, lifestyle changes, and holistic approaches intersect to redefine wellness. From headaches to genetic predispositions, delve into the interconnected world of health and Functional Medicine’s transformative impact. Uncover the keys to holistic well-being with cutting-edge insights and expert perspectives.

Our care plans are base on Functional Medicine as a systems approach based on biology that focuses on identifying and addressing the root cause of disease. We focus on the paradigm that symptom or differential diagnosis may be one of many contributing factors to an individual's illness.

This approach shifts from the traditional disease-centered focus of most medical practices to a more holistic person-centered approach.

Our discussions team includes Integrative Doctors, Functional Medicine Experts, Nutritionists, Health Coaches, Chiropractors, Physical Medicine Doctors, Therapists, and Exercise Performance Specialists.
We provide clinical insights, treatment options, and methods to achieve clinically sound, specific measured goals.*

Functional & Integrative Health Live Events *
? Stress Hormones & Health
? Gut Health, Inflammation & Auto-Immunity*
? Musculoskeletal Rehabilitation
? Fibromyalgia & Inflammation
? Diabetes & Autoimmunity*
? Weight Loss
? Body Composition Analysis
? Thyroid Dysfunction*
? Autoimmune Disorder*
? Heart Disease & Inflammation*
? Agility & Mobility
? Injury Recovery Programs
? Complex Lower Back Pain Recovery Plans
? Severe Sciatica Syndromes
? Other Complex Health Challenges
? Neutraceutical Recommendations
? Advanced Translational Nutrigenomics*
? Nutrigenomics, Proteomics, Metabalomics
? Care Plans (Advanced Clinical Practice)

We present, bridge, and connect these various health programs, functional medicine protocols, fitness methods, injury recovery programs, and offer complete wellness packages.

To that end, we shed light and offer treatment options and bring a deep understanding of the real underlying causes of those suffering from acute and interconnected chronic degenerative disorders.

Ultimately, we empower you to achieve and maintain your personalized, healthy way of living by understanding the root causes of disorders.

It is all about.

LIVING, LOVING & MATTERING

Join us in improving your health.

Blessings,

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com phone:
phone: 915-850-0900

Licensed in Texas & New Mexico*

Notice: Our information scope is limited to musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present talks and clinical collaboration with specialists from a wide array of disciplines. Each specialist in our events is governed by their professional scope of practice and their jurisdiction of licensure.

The information in these events is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

Our presentations are designed to share knowledge and information from Dr. Jimenez's research, experience, and collaborative functional medicine community. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
We use and discuss functional health & wellness protocols to treat and support the musculoskeletal system's care for injuries or disorders. Our events, webinars, posts, topics, subjects, and insights cover clinical matters, issues, and issues that relate and support, directly or indirectly, our clinical scope of practice.*

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://www.elpasobackclinic.com
Functional Medicine: https://wellnessdoctorrx.com

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor

DISCLAIMER: https://dralexjimenez.com/legal-disclaimer/

2 0

YouTube Video VVV5NTNGNC1RbUg3WVdEQ1NHUnF4T0VRLjFtd0FXT19MN3R3

Functional Medicine's Influence Beyond Joints | El Paso, Tx (2024)

Dr. Alexander Jimenez 72 views December 28, 2023 6:10 pm

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, and young and elder a diverse portfolio of strength equipment, high-performance exercises, and advanced agility treatment options. We have teamed up with the city’s premier doctors, therapists, and trainers to provide high-level competitive athletes the possibility 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, unwanted 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

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

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

North East Rehabilitation & Fitness Center
7100 Airport Blvd, Ste. C
Phone: 915-412-6677

Dr. Alex Jimenez DC, MSACP, CIFM, ATN, IFMCP
My Digital Business Card

Clinic Location 1

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

Clinic Location 2

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

Clinic Location 3

Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
Phone: (915) 850-0900
Email: Send Email
Web: www.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

EVENTS REGISTRATION: Live Events & Webinars – Sign Up Today

No Events Found

Post Disclaimer

Professional Scope of Practice *

The information herein on "Non-Invasive Treatment Modalities for Back Pain" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*

Presently Matriculated: ICHS: MSN* FNP (Family Nurse Practitioner Program)

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card