Chiropractic + Wellness

Pregnant and Chiropractic: Many women experience back/pelvis/leg/feet swelling, soreness, achiness, and pain during pregnancy. A growing belly added weight and changes in connective tissue can cause a variety of musculoskeletal strains and misalignments. Chiropractic care provides health maintenance of the spinal column, discs, nerves, joints, muscles, and bones. It is an art and science of adjusting a misaligned body, reducing stress, and promoting health throughout the body. 

Pregnant and Chiropractic

With a primary doctor's clearance, chiropractic can provide safe adjustments. Chiropractors trained to work with pregnant women utilize techniques that avoid applying pressure on or around the abdomen. Benefits of chiropractic during pregnancy include:

• Restores and maintains spinal alignment and balance.
• Helps control symptoms of nausea.
• Improves energy levels.
• Relieves body pain.
• Helps reduce labor time and delivery.
• Restores pelvic positioning and balance, improving standing, sitting, and walking mechanics.
• Improves blood perfusion and better movement for the baby

A chiropractor trained in the needs of pregnant women will also provide exercises and stretches that are safe during pregnancy.

A chiropractor will discuss/recommend treatment options, patient concerns, and a complete medical history assessment. They will monitor symptoms to customize treatments to the individual's specific needs to get the most relief.

Body Composition

Gestational Hypertension

Gestational hypertension develops during pregnancy. It is not preventable and returns to normal levels postpartum. However, there is an increased risk of developing chronic hypertension later if gestational hypertension begins to develop. According to Mayo Clinic, gestational hypertension is diagnosed by the following:

• At least 20 weeks gestation.
• Blood pressure is higher than 140/90 on at least two occasions.
• Must be more than four hours apart.
• There is no other organ damage present.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of 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 support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt 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 or contact us at 915-850-0900.

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

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Gutke, Annelie et al. "Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities." Acta Obstetricia et Gynecologica Scandinavica vol. 94,11 (2015): 1156-67. doi:10.1111/aogs.12681

Poděbradská, R et al. “The effect of physiotherapy intervention on the load of the foot and low back pain in pregnancy.” “Vliv fyzioterapeutických postupů na zatížení plosky a bolesti zad v těhotenství.” Ceska gynekologie vol. 84,6 (2019): 450-457.

Schreiner, Lucas et al. "Systematic review of pelvic floor interventions during pregnancy." International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics vol. 143,1 (2018): 10-18. doi:10.1002/ijgo.12513

There are different types of topical medications, different ways of delivery and are available for patients with back and neck pain. A physician may combine one or more types of medication for maximum relief or as a way of limiting the side effects of larger doses of only one medication. Strong dose compounds and controlled drugs are only available with a doctor's prescription.

Medicines that help control/reduce pain include:

• Narcotics
• Anti-inflammatories
• Muscle relaxants
• Antidepressants
• Anti-anxiety medications
• Topical anesthetics

Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn't mean they are safe to use as much as possible. Please read the label and follow the instructions. 

Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.

Inform your physician about all the products you take including herbal remedies to decrease the risk of side effects or potential severe drug interactions. When acute pain is present, injections either intravenous or intramuscular injected into the muscles are used. For chronic pain, medications are used and are typically in pill form. Both methods have limitations and different delivery approaches may be considered. This includes inhalation or topical on top of the skin applications.

Topical Pain Alleviators

These type of medications come prepared and are applied to the skin via:

• Cream
• Ointment
• Gel
• Spray
• Patch For example - Lidoderm patch

Topical medications aim to reduce inflammation and soothe nerve and muscle pain. Some are available with a doctor's prescription and others are over-the-counter. Medication administered through the skin is becoming more popular.

Skin Cells

The skin is the largest organ of the body. It serves as water barrier protection, it regulates body temperature, controls fluid loss, and is important to homeostasis/healthy internal balance.

It is made up of many layers and is supported by a complex blood supply. The blood vessels are in a framework of connective tissue including fat and fascia that holds the tissues together. Below that layer is the bone and muscle. There are also nerve endings that relay touch, temperature, and pain signals from the skin to the spinal cord, to the brain.

Compounds have been developed to safely carry the various medicines through the skin into the blood. These compound enhancers are able to penetrate the skin by opening normally closed channels for a quick time to help the skin absorb the medication/s and then close back up.

Spine Pain

Spine physicians and pain specialists often first recommend topical pain-relievers to help relieve the symptoms of back and neck pain/conditions.

Topical medicines may be used to treat the pain associated with:

• Neck strain
• Low back strain
• Whiplash
• Muscle inflammation
• Spasms
• Osteoarthritis
• Rheumatoid arthritis
• Certain types of nerve pain

Topical Advantages

• Bases like creams, ointments, gels, and sprays make application easy.
• Symptom relief is faster than oral medicines.
• Symptoms reduce at a steady rate.
• Relief can last longer.
• Not as much medicine is needed when applied in topical form.

As the medication is diffused through the skin and enters the bloodstream, it bypasses the digestive system reducing any unwanted side effects, like an irritated stomach.

Topical Disadvantages

• Blood flows in different ways to different parts of the body. Education about the product is essential to know where to apply the product like the arm or abdomen and how often.
• Blood flow to certain parts of the body can change over time. For example, when it's cold the blood vessels in the skin contract which decreases the absorption of the medicine, while sweating can open the pores too much and allow too much medication to be absorbed too quickly or wash it away completely.
• The skin could present a negative reaction. Therefore patients need to know what to do if an allergic or other reaction takes place.
• The skin nerves are different from the spinal nerves, so certain types of neck/back pain may not respond well to topical treatment.
• Spinal conditions/disorders deep in the body will not respond well to topical therapy.

Is it right

Are topical pain-alleviating medications the right for you? The best person to ask is your doctor or healthcare provider. Upon a final diagnosis and medical history, your doctor should offer various treatments/therapies for pain management.

Conclusion

Patches and creams can be used to deliver a wide variety of medications. These topicals are becoming popular because of their convenience and, reduction of negative side-effects.

• For individuals with muscle or tendon inflammation, applying a topical to the affected area limits the amount of medication going to other areas of the body that do not need it.
• For those that have stomach problems and find it difficult to digest anti-inflammatories, these topicals could be all they need to stay active.
• Individuals with chronic neck or back pain should discuss these medications with their pain specialist, physician or chiropractor to see if one of these topicals might work for them.

El Paso, TX Chiropractic Care Neck Pain Treatment

NCBI Resources

Everyone needs to take care of their back/spine because it is what holds us up as long as we keep it straight and strong. Strengthening the core can help prevent a weak and misaligned spine from getting worse and helps to eliminate pain.

Back safety should be priority one, as it affects all aspects of your life. Not only are you protecting your back, but are preventing future injury. We all need to pay attention to proper body positioning and body mechanics, as it will pay off in the long run.