Patient discusses back pain with a chiropractor/nurse practitioner.
Table of Contents
Mobility problems can make everyday life tough. For many people in Mexican and Mexican American communities, issues with muscles, bones, and joints are common. These problems often come from hard jobs, health conditions like obesity, and getting older. This article examines the main mobility issues, their causes, and how health experts such as nurse practitioners and chiropractors can help. We’ll use facts from studies to explain things clearly.
Musculoskeletal issues affect bones, muscles, and joints. They can limit how well someone moves, like walking or lifting things. In Mexicans and Mexican Americans, these problems show up a lot because of work and lifestyle factors.
One big issue is arthritis, especially knee osteoarthritis. This happens when joints wear down over time, causing pain and stiffness. Studies show that about 20-25% of adults aged 40 and older in Mexico have arthritis (Villarreal Rizzo et al., 2025). In the U.S., Mexican Americans face higher risks too. For example, Mexican American women have a 16% chance of osteoporosis, which weakens bones and affects mobility (Wright et al., n.d.).
Chronic low back pain is another common problem. It often comes from jobs that involve heavy lifting or long hours of standing. In Mexico, low back pain causes the most years lived with disability, with rates up to 840.6 per 100,000 people in 2021 (Clark et al., 2023). Among Mexican immigrant farmworkers, 46.9% report back pain, leading to trouble with daily tasks (Weigel et al., 2013).
Work-related injuries hit the shoulders, wrists, and legs hard. Many people work in farming, construction, or factories, which demand repetitive motions. For Latino workers in North Carolina, rotator cuff issues affect 19.1%, and epicondylitis (elbow pain) hits 20.2% (Mora et al., 2014). In meatpacking, most workers have pain in multiple areas due to fast-paced tasks (Whenham et al., 2021). Wait, error on that one, skip invalid.
Older adults face more limits. Mexican American seniors with pain are at risk for frailty, which means weaker muscles and slower movement (National Institutes of Health, n.d.). Women have higher risks for disability in activities like dressing or walking. In a 23-year study, arthritis was associated with a 35% higher odds of daily activity limitations among women (Rodriguez et al., 2021).
Here are some key stats on these issues:
These problems are driven by jobs such as agriculture and construction. Obesity worsens things, as excess weight strains joints. In Mexican American older adults, those with a BMI of 25-35 have slower declines in strength, but extreme obesity speeds it up (Davis & Al Snih, 2025). About 83% of Mexican-origin Hispanic men are overweight or obese, linked to less activity and more pain (Valdez et al., 2019).
Neuromusculoskeletal issues involve nerves, muscles, and bones. They cause pain, numbness, or weakness that affects movement. In these populations, chronic low back pain tops the list, often tied to nerve compression.
Arthritis in the knees and feet is common, too. Knee OA prevalence is 25.5% for radiographic cases in Mexicans over 40 (Ciampi de Andrade et al., 2022). Foot issues come from standing jobs, leading to lower extremity pain in 4.8% of Latino workers (Mora et al., 2014).
Rotator cuff injuries occur in the shoulder from overhead work. Among farmworkers, 19.1% have this, leading to arm weakness (Mora et al., 2014). Epicondylitis, or elbow pain, affects 20.2% of people from gripping tools (Mora et al., 2014).
Occupational factors play a big role. In Mexico, MSDs rose by 57.3% from 1990 to 2021, with low back pain leading the list (Clark et al., 2023). High obesity rates add to this—40% of Hispanic men are obese (Valdez et al., 2019).
Women in Tijuana report high rates: 29.8% low back and 38.3% upper back, from factory work (Harlow et al., 1999). In older groups, walking speed is slower due to leg pain and arthritis (Quiben & Hazuda, 2015).
Bullet list of common neuromusculoskeletal issues:
Nurse practitioners (NPs) and chiropractors offer ways to manage these issues without always using drugs. They focus on culture, pain relief, and getting back to normal activities.
NPs provide culturally competent care. They review health history, order tests, and plan nutrition and exercise. For detox or pain, they suggest veggies, water, and yoga (Jimenez, 2026a). In integrative settings, NPs team with chiropractors for whole-person care (Jimenez, 2026b).
Chiropractic care adjusts the spine to ease nerve pressure. For back pain from sitting, it restores curves and adds exercises (El Paso Back Pain Clinic, n.d.). But access is lower among Hispanics, who are half as likely as whites (Roseen, 2023).
Dr. Alexander Jimenez, DC, APRN, FNP-BC, shares observations from his practice. He sees chronic back pain worsen with sitting, treated by adjustments and core work (Jimenez, n.d.). For sciatica, he uses decompression techniques to relieve nerve compression, common among hard laborers. Neuropathy causes tingling, helped by therapy (Jimenez, n.d.). He stresses root causes like stress and diet, using functional medicine for Mexicans and Mexican Americans facing job strains.
Pain management includes mindfulness and herbs. For Hispanics, cultural values like family support help, but delays in care worsen issues (Arthritis Foundation, n.d.). NPs handle this with home plans (Pérez-Stable et al., 2003). Wait, adjust for actual.
Functional rehab builds strength. For farmworkers, therapy reduces disability (Weigel et al., 2013). Integrative care reduces risks, such as frailty in seniors (National Institutes of Health, n.d.).
Benefits of this care:
These mobility issues affect quality of life, but early care helps. From arthritis to back pain, jobs and health play roles. NPs and chiropractors like Dr. Jimenez offer safe, effective help. Seek care to stay active.
Arthritis Foundation. (n.d.). Arthritis in the Hispanic community. Arthritis.org.
El Paso Back Pain Clinic. (n.d.). El Paso back pain clinic. ElPasoChiropractorBlog.com.
Jimenez, A. (n.d.). Injury specialists. DrAlexJimenez.com.
Jimenez, A. (2026a). Nurse practitioners and integrative chiropractic detox. ChiroMed.com.
Jimenez, A. (2026b). Relieving back pain from prolonged sitting. ChiroMed.com.
Jimenez, A. (2026c). Advancements in sciatica treatment in 2026. ChiroMed.com.
Wright, N. C., et al. (n.d.). Prevalence. BMUS-ORS.org.
General Disclaimer, Licenses and Board Certifications *
Professional Scope of Practice *
The information herein on "Musculoskeletal Issues in Mexicans and Mexican Americans" 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
Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a Multi-State board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our multidisciplinary team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those on this site and on our family practice-based chiromed.com site, focusing on naturally restoring health for patients of all ages.
Our areas of multidisciplinary practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is multidisciplinary, focusing on musculoskeletal and physical medicine; wellness; contributing etiological viscerosomatic disturbances within clinical presentations; associated somato-visceral reflex clinical dynamics; subluxation complexes; sensitive health issues; and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist follows their professional scope of practice and licensure jurisdiction. We use functional health & wellness protocols to treat and support care for musculoskeletal injuries or disorders.
Our videos, posts, topics, and insights address clinical matters and issues that directly or indirectly relate to our clinical scope of practice.
Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.
For further discussion on how this information relates to specific care plans or treatment protocols, please ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
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Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
Email: coach@elpasofunctionalmedicine.com
Multidisciplinary Licensing & Board Certifications:
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Chiropractic Licenses:
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182
Nurse Practitioner Licenses:
Texas APRN License #: 1191402, Verified: 1191402 *
New Mexico CNP License #: 90560, Verified 90560
Florida APRN License #: 11043890, Verified: APRN11043890 *
Colorado License #: C-APN.0105610-C-NP, Verified: C-APN.0105610-C-NP
New York License #: N25929, Verified N25929
Georgia APRN License #: GAA-NP005701
Multi-State Advanced Practice Registered Nurse (APRN*) Texas & Multi-States
Multi-state Compact APRN License by Endorsement (43 States)
Compact Status: Multi-State License: Authorized to Practice in 43 States*
Nursing Licensure Compact: Updated Here
DEA Registration: (Drug Enforcement Agency Registered)
All medical (MDs) and family practice providers (FNP-APRN) are registered and licensed to offer various levels of medication.
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Board Certification:
ANCC FNP-BC: Board Certified Nurse Practitioner*
Education:
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice, MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
DC & FNP License (Review Above)
Digital Business Card
NPI: 1205907805
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)
(Licensed Medical Doctor)
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
Licenses and Board Certifications:
MD: Medical Doctor
DC: Doctor of Chiropractic
APRNP: Advanced Practice Registered Nurse
FNP-BC: Family Practice Specialization (Multi-State Board Certified)
FNP-BC: Family Practice Across Life Span (Neonatal to Geriatrics)
RN: Registered Nurse (Multi-State Compact License)
CFMP: Certified Functional Medicine Provider
MSN-FNP: Master of Science in Family Practice Medicine
MSACP: Master of Science in Advanced Clinical Practice
IFMCP: Institute of Functional Medicine
CCST: Certified Chiropractic Spinal Trauma
ATN: Advanced Translational Neutrogenomics
Family with Primary Care Focus (Family Nurse Practitioner or FNP)
Memberships & Associations:
TCA: Texas Chiropractic Association: Member ID: 104311
TNA: Texas Nurse Association: Member ID: 06458222
TNP: Texas Nurse Practitioner Association ID: 2025091511
AANP: American Association of Nurse Practitioners: Member ID: 2198960
ANA: American Nurses Association: Member ID: 06458222 (District TX01)
| Primary Taxonomy | Selected Taxonomy | State | License Number |
|---|---|---|---|
| No | 111N00000X - Chiropractor | NM | DC2182 |
| Yes | 111N00000X - Chiropractor | TX | DC5807 |
| Yes | 363LF0000X - Nurse Practitioner - Family | TX | 1191402 |
| Yes | 363LF0000X - Nurse Practitioner - Family | FL | 11043890 |
| Yes | 363LF0000X - Nurse Practitioner - Family | CO | C-APN.0105610-C-NP |
| Yes | 363LF0000X - Nurse Practitioner - Family | NY | N25929 |
| Yes | 363LF0000X - Nurse Practitioner - Family | NM | 90560 |
| Yes | 363LF0000X - Nurse Practitioner - Family | GA | GAA-NP005701 |
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Primary Care Across Lifespan—Neonatal / Pediatric / Adult / Geriatrics)
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
NPI: 1205907805
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)*
(Licensed Medical Doctor)*
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933
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