Mission Wellness Clinic Dr. Alex Jimenez, DC, FNP-BC P: 915-412-6677
Traumatic Brain Injuries (TBI)

Traumatic Brain Injuries Affect Mobility and Flexibility Recovery

How Traumatic Brain Injuries Affect Mobility and Flexibility: Benefits of Chiropractic and Integrative Care

A professional chiropractor assists a patient with mobility and flexibility issues following a head injury.

Traumatic brain injuries, or TBIs, happen when a strong hit to the head harms the brain. These injuries can come from falls, car crashes, sports, or other accidents. TBIs range from mild, like a concussion, to severe, which can cause lasting damage. Many people with TBIs face problems with moving around and staying flexible. This article looks at how TBIs cause issues like weak muscles, bad balance, and poor coordination. It also explains how these problems can worsen over time and lead to conditions such as stiff joints. Then, it covers how chiropractic care and other combined treatments can help resolve these issues. This care utilizes spine adjustments, soft tissue work, and specialized exercises to enhance healing.

Understanding the Physical Effects of TBIs

When someone gets a TBI, the brain can swell or get bruised. This affects how the brain sends signals to the rest of the body. As a result, people often have trouble with basic movements. Muscle weakness, for instance, is frequently experienced following a TBI. This weakness usually hits one side of the body more than the other. It makes it difficult to use arms or legs safely. Daily tasks like getting dressed or washing up become tough without help.

Poor coordination is another big issue. This condition is known as ataxia, characterized by shaky or uncoordinated movements. It can make simple things like writing or cooking feel impossible. Movements might be too fast or too slow, which raises the chance of accidents. Balance problems add to the trouble. People with TBIs may feel unsteady, which can lead to falls. This unsteadiness can cause nausea and make walking unsafe. It often stops people from driving or playing sports.

These issues lead to difficulties with walking and moving limbs. Some people can’t walk at all and require aids such as canes or walkers. Others have partial ability but still risk falling. Paralysis can happen too, especially on one side of the body. This severely limits what someone can do on their own. Maintaining posture can be challenging because muscles may spasm or remain tight. This stiffness, known as spasticity, causes limbs to feel painful and rigid. It limits the range of motion of the joints.

TBIs can cause mild gait disturbances, like a slight limp or uneven steps. Even small changes in walking can be frustrating and affect daily life. Studies show that these subtle shifts in balance and walking come from disruptions in the body’s sensory systems. In severe cases, TBIs lead to full paralysis, where limbs can’t move at all. Pain and fatigue make everything worse. Pain might come from tight muscles or headaches. Fatigue feels like a heavy tiredness that sets in after even simple activities. It slows people down and makes them need more rest.

Hypokinesia is another effect, characterized by slow or small movements. This is like bradykinesia, where actions lack speed or range. It can make walking feel stiff or reduce arm swings. This happens because TBIs damage parts of the brain that control movement and coordination. Overall, these deficits range from minor to major. Mild ones might just slow someone down, while severe ones need wheelchairs.

Symptom Questionnaire:

How Immobility Leads to More Problems

When people with TBIs can’t move much, it creates a cycle of issues. Immobility refers to remaining in one position for an extended period. This can cause muscles to shorten and tighten up. These shortened muscles are called contractures. Contractures make joints stiff and further limit movement.

Muscle weakness plays a big role in this. After a TBI, weak muscles don’t get used, leading to more loss of strength. This weakness comes from damaged brain signals that can’t activate muscles properly. Without movement, soft tissues around joints change and become less stretchy. Contractures affect dexterity, which is the ability to do fine tasks with the hands. They also affect functional ability, such as performing everyday chores. Mobility also takes a hit, as stiff joints make walking or standing more difficult.

Spasticity often combines with weakness to exacerbate contractures. Spastic muscles stay in constant contraction, pulling joints into fixed positions. This speeds up the tightening process. Up to 84% of people with severe TBIs get contractures, which slow down recovery. Loss of flexibility follows. Flexible bodies can bend and stretch easily, but contractures stop that. This leads to poor posture and more pain. Fatigue exacerbates the problem by causing people to avoid movement, which in turn worsens immobility.

Basic body functions suffer too. TBIs damage brain areas that control strength, balance, and coordination. This can cause hemiparesis, where one side is weak, or hemiplegia, where it’s paralyzed. Poor strength leads to inadequate endurance, making it difficult to walk or multitask. Sensory changes, such as not feeling touch or position, make relearning movements challenging. All this increases dependence on others and raises the risk of falls.

Causes from the Initial Impact

TBIs often start with a blow to the head and neck. This impact can cause muscle tension right away. Muscles tighten to protect the area, but they may stay tense for a long time after. This tension leads to joint stiffness. Stiff joints don’t move well, cutting down on flexibility.

Nerve signal interference is key here. The brain and spine work together to send messages to muscles. A TBI disrupts these signals, causing misfires. This can make muscles spasm or weaken. The initial impact may misalign the spine, contributing to nerve pressure. Neck and shoulder pain are common. About two-thirds of people feel this right after a TBI. Muscles lock in a protective mode, straining the cervical spine. This causes headaches, numbness in the arms, and limited neck motion.

Secondary symptoms pop up, too. Poor posture often stems from weak core muscles or uneven muscle strength. Headaches might stem from nerve issues or tension. Pain from TBIs is often musculoskeletal, resulting from injuries at the same time as the brain is hit. These problems make mobility harder. For instance, tight calves or quads can cause abnormal walking patterns, such as circumduction, where the leg swings out to the side.

Chiropractic and Integrative Care for Recovery

Chiropractic care provides a natural approach to managing TBIs. It focuses on the spine and nervous system. Adjustments realign the spine, taking pressure off nerves. This improves signal flow from the brain to the body. For mobility, adjustments restore joint function and range of motion. They reduce stiffness from misalignments.

Soft tissue therapy releases tension in muscles. Techniques such as massage or myofascial release help relax tight areas. This helps with muscle spasms and improves flexibility. Targeted exercises build strength and coordination. Things like balance training or stretching programs retrain the body. They promote neuroplasticity, a process by which the brain forms new connections to facilitate healing.

This care addresses secondary symptoms. Adjustments can ease headaches by improving blood flow. They fix poor posture by aligning the spine. Holistic approaches include nutrition and stress tips to support overall healing. Improved circulation is a big plus. Better blood flow brings oxygen to the brain, speeding recovery. It reduces inflammation, too. CSF flow gets a boost, which nourishes the brain and clears waste.

Chiropractic neurology takes it further. It uses stimulation, such as light or exercise, to wake up brain areas. This supports neural pathways and function. For TBIs, it helps with balance and coordination. Joint mobilization gently moves stiff areas, reducing strain on muscles.

Six ways chiropractic helps: restoring CSF flow, fixing neck alignment, balancing nerves, addressing muscle issues, using exercises, and boosting circulation. Three key benefits: better prefrontal processing, proper CSF flow, and improved blood flow. It prevents long-term issues by restoring mobility early.

Insights from Dr. Alexander Jimenez

Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, has over 30 years of experience in the field. He specializes in integrative care for injuries like TBIs. His clinic uses teams of experts to treat mobility and flexibility issues.

Dr. Jimenez notes that TBIs change posture and balance, affecting how people move. He sees hidden symptoms, such as loss of coordination, that are easy to miss. His approach combines adjustments with nutrition to reduce inflammation and support healing. For nerve interference, he uses spinal care to enhance signal transmission. Exercises like adaptive CrossFit help rebuild strength and agility.

He emphasizes the importance of early intervention to prevent chronic problems. His work on neuropathy relates to TBIs, addressing weakness and balance. Overall, he advocates for holistic methods to achieve lasting recovery.

Role of Physical Therapy and Training

Physical therapy complements chiropractic care. Goals include fixing abnormal movements, building strength, and improving coordination. Exercises target weakness and spasticity. Training helps with daily tasks by boosting endurance.

For contractures, stretching prevents stiffness. Physiotherapy maintains joint range and reduces muscle tightness. After suffering a TBI, many individuals require assistance with balance and strength to perform activities more easily.

Conclusion

TBIs seriously impact mobility and flexibility through weakness, poor coordination, and balance issues. These can lead to contractures and more stiffness. Pain and fatigue make it harder. But chiropractic and integrative care offer hope. Adjustments, therapy, and exercises restore function and stimulate healing. With experts like Dr. Jimenez, people can improve blood flow, nerve signals, and brain adaptation. Early care prevents long-term problems. If you have a TBI, talk to a professional about these options.


References

Artisan Chiropractic Clinic. (n.d.). Relieve accident trauma with chiropractic adjustment: A natural solution to pain management.

Artisan Chiropractic Clinic. (n.d.). Beyond the crash: Chiropractic adjustments for lasting trauma relief.

Apex Chiropractic. (n.d.). 3 benefits of chiropractic care following a traumatic brain injury.

Apex Chiropractic. (n.d.). How chiropractic care can treat a traumatic brain injury.

Brain Injury Association of America. (n.d.). Physical therapy and brain injury recovery.

Brain Injury Association of America. (n.d.). Slight changes in walking and balance after traumatic brain injury.

Brain Injury Canada. (n.d.). Mobility.

Calibration Chiropractic and Functional Health. (n.d.). How can integrative chiropractic care help with traumatic brain injuries.

Clinical Pain Advisor. (n.d.). Chronic pain associated with traumatic brain injury: Causes and management.

Cognitive FX. (n.d.). A patient’s guide to TBI physical therapy.

Crumley House. (n.d.). The power of movement: How physical training supports traumatic brain injury recovery.

Dr. Alexander Jimenez. (n.d.). El Paso, TX doctor of chiropractic.

Function First Indy. (n.d.). How chiropractic care can accelerate recovery from personal injuries.

Headway. (n.d.). Physical effects of brain injury.

HML Functional Care. (n.d.). How chiropractic neurology supports brain healing.

Impact Medical Group. (2024). Can chiropractic care help with mild traumatic brain injuries.

Jimenez, A. (n.d.). LinkedIn profile.

Model Systems Knowledge Translation Center. (n.d.). How a traumatic brain injury impacts daily life.

Neuro Rehab Times. (n.d.). NR notes: Physiotherapy in post-TBI rehab.

Neurochiro. (n.d.). Traumatic brain injury.

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries.

Pinnacle Health Chiropractic. (n.d.). Six ways chiropractic care supports healing after TBI.

Physio-pedia. (n.d.). Contracture management for traumatic brain injury.

PMC. (2022). Disorders of movement due to acquired and traumatic brain injury.

Sams Chiropractic and Physiotherapy. (n.d.). Why chiropractic support improves recovery from auto injuries.

YouTube. (n.d.). How brain injury affects walking and movement.

YouTube. (n.d.). Gait deviations after brain injury: Circumduction.

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The information on this blog site is not intended to replace a one-on-one relationship with a qualified healthcare 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.

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Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our 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 found on this site and our family practice-based chiromed.com site, focusing on restoring health naturally for patients of all ages.

Our areas of chiropractic 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.

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Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN

email: coach@elpasofunctionalmedicine.com

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Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
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