Dr. Alex Jimenez, El Paso's 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

Burst Fracture Injury, Diagnosis and Treatment El Paso, TX.

A Burst Fracture

A burst fracture describes an injury to the spine where the vertebrae get compressed severely. These types of injuries occur from severe trauma, like an automobile accident or a serious fall, sports injury, work injury. These injuries entail a great deal of force into the spine, so much so that a vertebra can get crushed.


11860 Vista Del Sol, Ste. 128 Burst Fracture Injury, Diagnosis and Treatment El Paso, TX.


When crushed in the front of the spine, a wedge-shaped fracture occurs and is known as a compression fracture.

But if the vertebral body gets crushed in all directions this is known as a burst fracture.

The term burst means that the vertebral body spreads out in all directions.


Cervical Spine Fractures

Severe Injury

This is a much more severe injury than a compression fracture. With the bones crushed and possible rough jagged edges, if they spread out the spinal cord has a high probability of being injured. The fragments can bruise the spinal cord causing paralysis or partial neurologic injury. The spine becomes far less stable than from a compression fracture.


Nerve Injury

Neurologic injuries from a burst fracture can range from no injury to paralysis. This depends on the amount of force present at the time of the injury and how much the spinal canal is compromised.

  • A greater amount of force equals more bony fragments that can be forced into the spinal canal and cause higher loss of spinal cord function.

This can cause loss of:

  • Strength
  • Sensation
  • Reflexes below the injury

With an incomplete spinal cord injury, partial paralysis or partial reflex loss occurs.

With a mild burst fracture, only short-term symptoms could be present and no neurologic injury.


Intense Pain

Burst fractures can cause intense pain and the pain is right where the trauma took place.

But pain can also present in the legs and feet depending on how the spinal nerves were affected, shifted or pinched. Patients complain of an electric tingling or shooting type sensation in their legs with spinal cord compression. With a burst fracture, individuals are unable to walk right after the trauma. But the pain percentage present is severe enough that they know not to try and walk.


11860 Vista Del Sol, Ste. 128 Burst Fracture Injury, Diagnosis and Treatment El Paso, TX.


If at the sight of the accident the patient says that they have severe back pain should not be in a seated flexed position. They need to be kept lying flat and transported in a flat position.

If they stand or sit with a burst fracture, it can increase the possibility of a neurologic injury.

Burst fractures require immediate medical attention from an orthopedic or neurosurgeon. The patient is taken to an emergency room and x-rays, CT scans are gathered.

The diagnosis of a burst fracture is typically made with x-rays and a CT scan.

Sometimes, an MRI will be ordered to assess the amount of:

  • Soft tissue trauma
  • Bleeding
  • Ligament injury

The CT scan and x-rays allow the doctor to determine the level of the fracture, and if it is a:

  • Compression fracture
  • Burst fracture
  • Fracture-dislocation

This will determine how much the spinal canal has been compromised and if its angulation or angle has taken an abnormal bend or curve. These factors all contribute to the development of an optimal treatment plan.

The physical exam will document:

  1. Spinal deformity and Angulation of the spine
  2. Tenderness of the spine where the fracture is located
  3. Neurologic exam

Neurologic exam should include testing:

  • Muscle strength
  • Sensation
  • Reflexes of the lower extremities
  • Testing of bowel and bladder control


Treatment & Recovery

A stable burst fracture can be treated without surgery.

A stable burst fracture falls into these parameters:

  1. There is no neurologic injury
  2. The angulation is less than 20 degrees
  3. The amount of spinal canal compromise is less than 50%

With this type of treatment, a brace along with physical therapy/chiropractic can have excellent results.

A turtle or clamshell brace TLSO (Thoracic Lumbar Sacral Orthosis) is a body cast used in the treatment of a burst fracture.

The brace is worn for eight to twelve weeks for adequate and optimal healing.

There are times when a fracture thought stable and treated can start to angulate. This may require surgery. However, all burst fractures require some form of treatment.


chiropractic care el paso tx.


  • Nonsurgical treatment patients stay in the hospital for one or two days while their brace is fit.
  • X-rays are done in the standing position to make sure the spine stays stable.
  • Pain medications are prescribed for three to four weeks
  • Non-narcotic medications can begin after the final week

When the brace is removed, physical therapy and chiropractic are instituted to help return strength to the core and lower extremities.

Surgical patients will remain in the hospital for three to five days.

  • They will be fitted with a brace after the incisions present less pain and are recovered from the surgery.
  • They can walk within one or two days with the help of a physical therapist.
  • X-rays are taken to follow the position of the spine and see how the healing is progressing.
  • Chiropractic/Physical therapy is implemented to help with core strength and lower extremity strength.

Recovery time depends on the severity of the neurologic injury.

  • Patients that don’t have a neurologic injury can make a full recovery with return to most activities.
  • Patients with partial neurological injuries can also expect to fully recover.
  • Unfortunately, with permanent neurologic injury, recovery can be limited.

But treatment for burst fractures today is superior to what they were years ago, especially with spine specialists and specific spinal procedures.


Chiropractic Rehab

Chiropractic is not a treatment for fractures but is a treatment for subluxations and rehabilitation with these types of fractures. Once a fracture has stabilized and healed properly, a chiropractic evaluation can rule out any lingering subluxation, herniation, and joint restriction. The adjustments are safe and effective in establishing optimal function to a subluxated joint.


Chiropractic Treatment For Auto Accident Injuries El Paso, Texas


We focus on what works for you. We also strive to create fitness and better the body through researched methods and total wellness programs. These programs are natural and use the body’s own ability to achieve goals of improvement.


NCBI Resources

Chiropractors can help alleviate some of the long-term and immediate concerns associated with bone fractures. A chiropractor can help with compression techniques which are beneficial in maintaining the bone in place for healing. A chiropractor may also advocate wellness techniques, such as a healthy diet that will optimize the body’s ability to restore its original health and wellness. Chiropractors may also educate a patient on a variety of exercises and stretches to reduce the likelihood of complications and which, if done properly and at fixed intervals, will promote quicker recovery.


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


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

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

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
: (915) 412-6677
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El Paso, TX 79905
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El Paso, TX 79936
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Address: 6440 Gateway East, Building B
El Paso, TX 79905
: (915) 412-6677
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El Paso, TX 79902
: (915) 412-6677
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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 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 Read More…

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

email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico