Functional Medicine

Functional medicine is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms. Functional medicine practitioners and health coaches spend time with their patients, taking a detailed history, listening to their background and stories,  and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.

By changing the disease-centered focus of medical practice to this patient-centered approach, our physicians are able to support the healing process by viewing health and illness as part of a cycle in which all components of the human biological system interact dynamically with the environment. The human body all acts together. There are many systems but they all influence each other to maintain homeostasis. Functional medicine takes this understanding of the body and instead of sending the patient to multiple specialists for each system, it treats the body as a whole. This process helps to seek and identify genetic, lifestyle, and environmental factors that may shift a person’s health from illness to well-being.

Gut Health El Paso TX
A New Perspective On The Gut, Nervous System, and Chiropractic Care

The human body is more complex than scientists understand. Constantly, new research is being conducted and published that dives deeper into the bodies of multiple systems, uncovering new thought-provoking information. As of late, a lot of research is being conducted revolving around the human gut/gastrointestinal system. Originally thought, the gut was made to store and digest food. However, now we see that the gut is the real mastermind behind everyday bodily functions. The gut has now been linked to headaches, inflammation, and autoimmune disease. 

Background 

The digestive tract is one of the essential immune support organs. In fact, it is the immunological powerhouse that houses more than 80% of our antibody-producing cells. This means that our gut is the first line of defense when it comes to unwanted antigens. The gut is so powerful that researchers began to question and test its true abilities. 

The Gut 

The thought of the body having two brains sounds fictional, but scientists have begun referring to the gut as the body’s “second brain.” Researchers found that the brain in the human skull, working with the Central Nervous System (CNS) and the gut working with the Enteric Nervous System (ENS), can function separately. Although the two use the same “hardware,” the ENS can manage every aspect of digestion and is a nearly self-contained network of neurotransmitters and proteins. 

Just throughout the small intestine, there are more than 100 million nerve cells. If you combine the number of nerve cells in the human GI tract, you will find that there are more nerves in the gut than there are in the human spine. This allows the ENS the capability to help with ION transport and GI blood flow. 

Nearly every substance the body contains to control the brain can simultaneously be found in the gut. One of these substances being serotonin. 95% of serotonin is housed in the gut. A cell referred to as the enterochromaffin squirts serotonin into the wall of the gut, which then communicates with the nerve cells to get things moving. 90% of communication occurring is from the gut to the brain. When we take this into consideration with chiropractic care, we see how it is all connected. Chiropractic care focuses on the musculoskeletal system. The musculoskeletal system includes bones, muscles, tendons, ligaments, and soft tissue. All of these work together to support your body’s weight and help you move to perform daily functions. Injuries, disease, and aging can cause pain, stiffness, and other problems with movement and function. The muscular system is an organ system that consists of skeletal, smooth, and cardiac muscles. Smooth muscle is what lines the interior of the gut. As we know, the muscle systems in vertebrates are controlled through the nervous system. In fact, studies have shown that chiropractic care helps to reduce constipation, low back pain, and overall well-being. This study shows how the gut and digestive systems are directly connected to chiropractic care.

Inner Defense System 

As previously mentioned, the gut is our inner defense system. The mucosal layer that is associated with lymph node tissue is our primary source of immunological function. Gut-Associated Lymphoid Tissue (GALT) is the first to see foreign invaders and put up a fight. GALT produces two levels of defense, the most abundant being secretory IgA. Secretory IgA binds to antigens to provide protection against microbes. 

It is important to note that secretory IgA in itself is NON-Inflammatory. However, when secretory IgA is fighting, it sends off signals for help from other immune cells, such as IgG and IgM, which do produce an inflammatory response. 

Most individuals who have an autoimmune disease have worn-out IgAs. The goal of the gut and its defense system is to keep nutrients in while bouncing antigens off. In the case of autoimmune diseases, we see nutrients leaking out and antigens coming in.

InBody

In order to gain a better understanding of the health of our patients, we use the InBody 770. This allows us to assess health down to the orthomolecular level. With the use of the InBody, we can see phase angle, visceral fat (higher visceral fat has an association with type 2 diabetes, heart attack, and stroke), intracellular water, extracellular water (this is related to inflammation and swelling), lean muscle, and percent body fat. These numbers are critical when considering a health condition, especially if the extracellular water is high. We see a direct overlap in risk profiles with excess extracellular water to other inflammatory diseases and markers. 

With more research shining a light on these, we see the true the gut and how it comes into play with autoimmune disease and inflammation. 

[embedyt] www.youtube.com/watch?v=_6_sG_JV-0Q%5B/embedyt%5D

THE GUT IS GENUINELY SO POWERFUL AND HIGHLY OVERLOOKED. I CAN SPEAK FROM EXPERIENCE IN HAVING AN AUTOIMMUNE CONDITION WHERE NOT A SINGLE DOCTOR MENTIONED MY DIET OR MY GUT! NOW, KNOWING THIS INFORMATION AND BEING SURROUNDED BY PATIENTS WHO SUFFER FROM A DISEASE SIMILAR TO MINE, IT IS THE FIRST PLACE WE LOOK. THE GUT IS THE POWERHOUSE AND SHOULD BE TREATED AS SO. -KENNA VAUGHN, SENIOR HEALTH COACH 

References 

University, Functional Medicine and Ronald Grisanti , directors. Physiology of the Gut Associated Lymphoid Tissue, Enteric Nervous System and Mucosal Barrier. Functional Medicine University – The Leader in Online Training in Functional Diagnostic Medicine, 2010,.

Rédly M. (2001). The effects of chiropractic care on a patient with chronic constipation. The Journal of the Canadian Chiropractic Association, 45(3), 185–191. 

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Arthritis in El Paso TX
The Link Of Inflammation

Fifty-four million adults currently suffer from Arthritis. In addition to that, about 9% of adults have some type of limitation attributed to Arthritis. The CDC predicts the number of those diagnosed with Arthritis will only continue to rise in the years coming. With autoimmune disease continually growing, it begs the question, “What are we doing to reduce these chances in our patients?”.
Arthritis
Arthritis is inflammation of the joints. With “Arthro,” meaning joint, and “itis” referring to inflammation, it is clear that joint inflammation is the symptom being referred to. Many conventional approaches to arthritis treatment are aimed at reducing the inflammation of the joints. These medications also come with a heavy dose of side effects, including kidney failure, gastritis, and bleeding in the stomach. Looking from a functional perspective, aiming to heal at the orthomolecular level, we pinpoint what is causing the inflammation in the first place. By resolving the overall inflammation in the body, evaluating the musculoskeletal system, and creating a holistic plan, we are able to naturally reduce what is causing the inflammation. With this plan of action, joint inflammation ultimately subsites as well.
Underlying Conditions
As with other autoimmune conditions, we see underlying factors associated with Arthritis. One of the main contributing factors is infection and imbalance of the gut microbiota. For over 100 years, researchers have been searching for the exact link between the arthritis-infection connection. It has been documented countless times in animals and humans that those with Arthritis have another type of infection. We know that in patients with RA (Rheumatoid Arthritis), there are polymorphonuclear (PMN) leukocytes. This association of joint neutrophilia with RA has implied infectious etiology.
DNA Sequencing
DNA sequencing was used to identify the bacteria on the mouth and in the intestines of participants with RA. This research has found that those who have an early onset of RA have had 4x more porphyromans gingivalis bacteria vs. the healthy controlled adults. Intestinal bacteria was also associated with inflammation and is more prevalent in patients who have RA. A specific test we use to test DNA is from DNA Life called DNA Health. We also use a stool test from Genova to detect inflammation and strains of bacteria in the gut. The balance between the gut and inflammation is substantial. There are countless studies documenting “leaky gut”. When the gut becomes so inflamed, the barrier becomes permeable, and small undigested proteins leak through the barrier back into the bloodstream. Our body sees these proteins as foreign invaders and sends white blood cells to attack. This process is what starts the inflammation. With continuous leakage and cells attacking our own body, the autoimmune diseases set in. With the help of the Genova test-we are able to create a program that helps reduce, repair, and replenish the gut. A sample resort of both tests are shown below:

[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”http://www.dnalife.healthcare/wp-content/uploads/2020/05/DNA-Health-Sample-Report-2020.pdf” /]

[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://www.gdx.net/core/sample-reports/gi-effects-2200-sample-report.pdf” /]
Hormones
Hormones are to ensure our bodies are properly functioning. It is common for those who have Arthritis to have a hormone imbalance as well. These hormones include DHEA, Pregnenolone, Natural progesterone, natural estrogens, human growth hormone, cortisol, melatonin, and more. Hormones are delicate and can be thrown off by a multitude of environmental factors. Even something as simple as perfume, scented body soap, and lotions can throw imbalance hormones. One hormone test we specifically use is the DUTCH Plus test from DUTCH. This is a combination of 6 urine and six saliva samples throughout a 24 hour period. This test shows us the exact numbers and fluctuations one has in hormones. A sample of this report can be seen below:
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://dutchtest.com/wp-content/uploads/2020/01/DUTCH-Plus-Female-Sample-Report-Ref02252020.pdf” /]
A Functional Approach
When dealing with a disease such as Arthritis, there are six areas to be considered from a functional standpoint. The first being dehydration. Unfortunately, dehydration is widespread and causes the body to not function at its total capacity. We are able to track hydration levels at the intracellular and extracellular level of our patients with the use of our InBody 770 machine. The second aspect is food and environmental allergies. These allergies around us are impacting our genes and how we break down food particles. If we are sensitive to food, our gut is not properly digesting it. This leaves us with leaky gut syndrome and proteins leaking back into our bloodstream, resulting in inflammation. Third, hormone imbalances. As mentioned above, we can not improve our joints if we do not first assess the hormones. The fourth factor is infections. If we have previous infections, they may have altered our DNA or still be lingering around, leading to excess inflammatory factors. Fifth, nutritional imbalances. Similar to hormones, we need our nutrition to be fully functioning to properly allow energy creation and proper breakdown. If we lack micronutrients, our production and balance of energy will be offset. Finally, the last point to be evaluated is toxicities. Toxins surround us everywhere we go. They are in the products we use, the air we breathe, the food we eat, etc.
Phase Angle
The phase angle is a snapshot of cellular health. We want our cells to be strong, healthy, and able to fight off infection. This comes from a solid cellular membrane. When an individual’s phase angle is around 7, we know the cells are healthy. However, in many cases, phase angles fall closer to the 4-5 range. A phase angle in this low range indicates that the cellular membranes are permeable and more susceptible to infection and early apoptosis (cell death). To improve overall phase angle, we must decrease visceral fat (the fat surrounding the organs) and increase our skeletal muscle mass to outweigh our weight and body fat mass. As previously mentioned, we use the InBody 770 machine to detect phase angle, visceral fat, water levels, inflammation, skeletal muscle mass, body fat mass, and BMI.
[embed]https://www.youtube.com/watch?v=047lML9ndPo[/embed]
Tie It Together
By approaching Arthritis and inflammation from these areas and considering these six factors, we are able to assess what the real source of inflammation is. This provides us with a great understanding of how to go about reducing inflammation and repairing the body in a functional way. The musculoskeletal system is intertwined with all areas of the body. It comes down to the cellular level.
We have discovered that everything is connected to the gut and phase angle. We did not associate joint pain with gut inflammation before, but now we see that it is all connected. We can start by feeding our bodies anti-inflammatory foods such as smoothies to reduce inflammation. -Kenna Vaughn, Senior Health Coach

References:
Brownstein, David. “Overcoming Arthritis.” Functional Medicine University . 2020.

Additional Online Links & Resources (Available 24/7)



Online Appointments or Consultations: bit.ly/Book-Online-Appointment



Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History



Online Functional Medicine Assessment: bit.ly/functionmed

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Immunonutrition, COVID-19, and Obesity. Part 2 El Paso TX
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Neuromuscular reffered pain | El Paso
Neuromuscular Referred Pain, Is It Impacting You?

When it comes to Neuromusculoskeletal disorders, many techniques are available for one to learn. Some of these techniques include: 

Activator methods 
Applied Kinesiology
Atlas Specific 
Meric System 
Network Chiropractic 
Pro-Adjuster 
And Many More 

As a healthcare practitioner, upwards of 90% of your consultations involve a clinical investigation. The most often asked questions to patients include “How long have you had the pain?” and “What aggravates the pain?” However, it is imperative to determine the best course of treatment for patients. To properly do this, you do a functional history that includes all dimensions of wellness, not just physical and pain. These questions include: 

Past Medical History 
Occupational Status 
Social Status 
Medication History 
Surgical History 
Identifying non-neuro muscular disorders the patient may have like diabetes, fibromyalgia, rheumatoid arthritis, and cancer 

Understanding all areas of injury is vital due to neurological referred pain. Neurological referred pain occurs when signals get mixed in your neurological wiring. Sensory inputs from different areas of the body combine into single neurons (the nerve cells) in the spine. In the spine, they are integrated and modified before being sent to the brain. To properly assess and have successful treatment, one must identify the proper tissue that has been compromised. 

Along with this, there are perpetuating factors that can lead to downfalls as well. 

Mechanical Stresses

The stresses that directly impact pain and the skeletal system include short leg, hemipelvis, long second metatarsal, short upper arms, postural stresses, misfitting furniture, poor postures, abuse of muscles, and immobility. 

Short leg is seen frequently and puts a biomechanical strain on the supporting muscle. This creates a distortion of axial alignment. The main muscle impacted is the quadratus lumborum. This muscle being compromised is one of the most overlooked sources of low back pain. Once this is identified, the shoulder girdle should be evaluated next. If individuals are suffering from low back pain frequently, nutritional inadequacies should be considered. 

There are research studies done showing nutritional deficiencies to be associated with chronic neuromusculoskeletal system disorders. For optimal health, we focus on the body down to the orthomolecular components. These include: 

B1
B6
B12
Folic Acid
Vitamin C
Calcium 
Potassium 
Iron 
Magnesium 
InBody

Part of obtaining a full history is having patients undergo an InBody scan. This scan focuses on body composition and inflammation. It provides a full report of water, percent body fat, phase angle, visceral fat, basal metabolic rate, ECW/TBW and contains multiple segmental analysis sections. The InBody 770 high power technology to accurately assess patients.

[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D

 

THE HUMAN BODY IS VASTLY INTERTWINED AND HEALTH CARE PROVIDERS SHOULD BE LOOKING AT EVERY AREA IF YOU ARE EXPERIENCING PAIN OR DISCOMFORT. A DETAILED HISTORY CAN HELP DOCTORS GET TO THE ROOT SOURCE OF YOUR PAIN. -KENNA VAUGHN, ACSM-EP, SENIOR HEALTH COACH 

References: 

Dr Ron Grisanti,D.C “Insiders Guide.” Functional Medicine University (FMU). 

Williams FH. Neuromuscular complications of nutritional deficiencies. Phys Med Rehabil Clin N Am. 2008 Feb;19(1):125-48, vii. doi: 10.1016/j.pmr.2007.10.006. PMID: 18194754.  

Additional Online Links & Resources (Available 24/7)



 

Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment



 

Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History



 

Online Functional Medicine Assessment: bit.ly/functionmed

 

 

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 musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate 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.  Read More…

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

email: coach@elpasofunctionalmedicine.com

phone: 915-850-0900

Licensed in Texas & New Mexico

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