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Chiropractic Examination
Dr. Alexander Jimenez Chiropractic Examination:
An initial chiropractic examination for musculoskeletal disorders will typically have four parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may be performed. Our office provides additional Functional and Integrative Wellness Assessments in order to bring greater insight into a patient’s physiological presentations.
Consultation:
The patient will meet the chiropractor which will assess and question a brief synopsis of his or her lower back pain, such as:
Duration and frequency of symptoms
Description of the symptoms (e.g. burning, throbbing)
Areas of pain
What makes the pain feel better (e.g. sitting, stretching)
What makes the pain feel worse (e.g. standing, lifting).
Case history. The chiropractor identifies the area(s) of complaint and the nature of the back pain by asking questions and learning more about different areas of the patient’s history, including:
Family history
Dietary habits
Past history of other treatments (chiropractic, osteopathic, medical and other)
Occupational history
Psychosocial history
Other areas to probe, often based on responses to the above questions.
Physical examination:
We will utilize a variety of methods to determine the spinal segments that require chiropractic treatments, including but not limited to static and motion palpation techniques determining spinal segments that are hypo mobile (restricted in their movement) or fixated. Depending on the results of the above examination, a chiropractor may use additional diagnostic tests, such as:
X-ray to locate subluxations (the altered position of the vertebra)
A device that detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance that requires manipulation.
Laboratory Diagnostics:
If needed we also use a variety of lab diagnostic protocols in order to determine a complete clinical picture of the patient. We have teamed up with the top labs in the city in order to give our patients the optimal clinical picture and appropriate treatments.
Wrist/Hand Arthritis and Trauma: Diagnostic Imaging | El Paso, TX.
Wrist & Hand Trauma
Distal Radius & Ulnar Fractures (Colles, Smith's, Barton's, Chauffeur's, DiePunch)-!-->!-->!-->…
The Elbow: Diagnostic Imaging Approach | El Paso, TX.
Acute Elbow Trauma
In adults: Radial head Fx is the m/c (33%) and accounts for 1.5-4% of all fractures.!-->!-->!-->…
Shoulder Diagnostic Imaging Approach | El Paso, TX.
Overview of Shoulder Anatomy
Acute Trauma
Proximal humeral Fx account for 4-6% of all Fxs. Osteoporotic!-->!-->!-->!-->!-->!-->!-->…
Diagnosis and Management of Rheumatoid Arthritis
About 1.5 million people in the United States have rheumatoid arthritis. Rheumatoid arthritis, or RA, is a!-->…
Ankle & Foot Diagnostic Imaging Arthritis & Trauma II| El Paso, TX.
Lisfranc Fracture-Dislocation
M/C dislocation of the foot at tarsal-metatarsal articulation (Lisfranc!-->!-->!-->!-->!-->…
How Arthritis Can Affect the Knee
Arthritis is characterized as the inflammation of one or multiple joints. The most common symptoms of arthritis!-->…
Ankle & Foot Diagnostic Imaging Arthritis & Trauma I | El Paso, TX.
Ankle Fractures
10% of all fractures. 2nd m/c following femoral neck Fx. Demographics: young active males and!-->!-->!-->…
The Basic Science of Human Knee Menisci Structure, Composition, and Function
The knee is one of the most complex joints in the human body, consisting of the thigh bone, or femur, the shin!-->…
Why Gait Analysis Is Important With Chiropractic Care | El Paso, TX.
The way a person walks, their gait, can be very telling. It can reveal problems in the feet, ankles, knees, and!-->…
Knee Arthritis: Diagnostic Imaging Approaches II | El Paso, TX.
Sagittal Fluid Sensitivity
Sagittal Fluid Sensitive MR slice showing large synovial popliteal (Baker's)!-->!-->!-->!-->!-->…
Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis
The knee is the largest joint in the human body, where the complex structures of the lower and upper legs come!-->…
Knee Arthritis: Diagnostic Imaging Approaches I | El Paso, TX.
Degenerative Knee Arthritis
Knee ArthritisKnee OA (arthrosis) is the m/c symptomatic OA with 240 cases per!-->!-->!-->…
Evaluation of Patients Presenting with Knee Pain: Part I. History, Physical…
Knee pain is a common health issue among athletes and the general population alike. Although symptoms of knee pain!-->…
What is a Quadriceps Tendon Rupture?
The tendons are powerful soft tissues which connect the muscles to the bones. One of these tendons, the quadriceps!-->…
Knee Complaints: Diagnostic Imaging Approach & Neoplasms
Bone Neoplasms Tumor-Like Conditions
Bone neoplasms and tumor-like conditions affecting the knee can be benign!-->!-->!-->…
Knee Pain & Acute Trauma Diagnosis Imaging Part II | El Paso, TX
Meniscal Tears
Acute or chronic. Imaged with MRI (95% sensitivity & 81% specificity)Menisci are formed!-->!-->!-->!-->!-->…
What is Knee Plica Syndrome?
The knee is a made up of a variety of complex soft tissues. Enclosing the knee joint is a fold at its membrane!-->…
Knee Pain & Acute Trauma Diagnosis Imaging Part I | El Paso, TX
Tibial Plateau Fractures
Impaction type fractures predominateResult from valgus or varus stress with or w/o!-->!-->!-->…
What is Chondromalacia Patellae?
Chondromalacia patellae, also referred to as runner's knee, is a health issue in which the cartilage beneath the!-->…
What is Osgood-Schlatter Disease?
Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is characterized by the!-->…
What Is Sinding-Larsen-Johansson Syndrome?
Sinding-Larsen-Johansson, or SLJ, syndrome is a debilitating knee condition that most commonly affects teens!-->…
Spinal Infection Diagnostic Imaging Approach | El Paso, TX.
Pyogenic Spinal Infection
aka Spondylodiscitis and vertebral osteomyelitis overall are relatively infrequent!-->!-->!-->…
What is Patellar Tendinitis?
Patellar tendinitis is a common health issue characterized by the inflammation of the tendon which joins the!-->…
Diagnosis of Hip Complaints: Arthritis & Neoplasms Part II | El Paso, TX.
Ischemic Osteonecrosis
Ischemic Osteonecrosis (More accurate term) aka avascular necrosis AVN: this term!-->!-->!-->!-->!-->…
Bisphosphonates: Mechanism of Action and Role in Clinical Practice
Bisphosphonates are a type of drug/medication which blocks the loss of bone density to treat osteoporosis-related!-->…
What is Metastatic Bone Disease?
Cancer which develops in specific organs of the human body, including the lungs, breast, or prostate, among!-->…
Femoroacetabular Impingement
Femoroacetabular impingement, or FAI, is a medical state where additional bone develops in a single or multiple of!-->…
Diagnosis of Hip Complaints: Arthritis & Neoplasms Part I | El Paso, TX.
Degenerative Joint Disease (DJD)
Macroscopic & Microscopic Appearance of Normal vs. Damaged Articular!-->!-->!-->!-->!-->…
Bisphosphonate-Related Proximal Femoral Fractures
With the increase of osteoporosis in older adults, the diagnosis and treatment of abnormal hip fractures, such as !-->…
Acute Pelvis & Hip Trauma Imaging Diagnosis Part II | El Paso, TX.
Hip Fractures
Garden Classification (above) helps with Dx and correct management of patientsM/C Fx!-->!-->!-->!-->!-->!-->!-->!-->!-->…
Impacted Femoral Neck Fractures
Hip fractures are characterized as any type of break in the upper region of the femur or thigh bone. The variety!-->…
Acute Pelvis & Hip Trauma Imaging Diagnosis Part I | El Paso, TX.
Pelvic Fractures Can Be Stable & Unstable
Unstable Fx: a result of high energy trauma with >50% d/t!-->!-->!-->…
Femoral Neck Stress Fractures
The hip is a ball-and-socket joint composed of the head of the thigh bone, or femur, which acts as the ball and!-->…
Osteitis Pubis Treatment
Pain along the pelvis and groin region is known as osteitis pubis. Osteitis pubis develops through the!-->…
Piriformis Syndrome Management
Sciatica is a collection of symptoms in the low back, which radiate down one or both legs. Sciatica is generally!-->…
Understanding Trochanteric Bursitis
The hips are some of the most flexible structures in the human body, providing the necessary amount of strength!-->…
Athletic Pubalgia Mechanism of Injury
Athletic pubalgia is a debilitating health issue which affects the groin. The injury commonly happens through!-->…
Spinal Neoplasms Diagnostic Imaging Approach Part II
Summary
NeoplasmsThe vast majority of clinically suspected bone Mets are found in the axial skeleton and!-->!-->!-->…
Athletic Pubalgia and Adductor Strain
Athletic pubalgia, also known as a hockey hernia, hockey groin, Gilmore's Groin, sports hernia, or groin!-->…
Rectus Femoris Strain Management
The rectus femoris muscle attaches to the pelvis and just below the knee as it is one of four muscles found at the!-->…