Abstract In this educational post, I guide you through current best practices and emerging consensus in orthobiologics—particularly platelet-rich plasma (PRP) and adipose-derived therapies—while clarifying common nomenclature pitfalls and their clinical implications. I explain why the cellular composition of PRP matters, how neutrophil-rich formulations can provoke joint flares, and how mononuclear cell–dominant formulations may be better suited for intra-articular use. I also present pragmatic workflows for point-of-care preparation, discuss subchondral bone interventions, and elaborate on an integrative pathway that includes functional medicine, rehabilitation, weight management, and the optimization of chiropractic joint biomechanics. Importantly, I introduce our multidisciplinary model at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas, where Dr. Maria Guadalupe Cardenas, MD (Board Certified in Internal Medicine, NPI #1164426749, Texas MD License #J...
A minor motor vehicle accident can feel simple at first. The car may have only light damage. You may walk away thinking, "I am fine." But the body does not always show injury right away. Delayed symptoms after a car accident are common because adrenaline, endorphins, inflammation, muscle guarding, and nerve irritation can hide pain at first. Symptoms may appear 24 to 72 hours later and, in some cases, days or even weeks after the crash. For people in El Paso, Texas, an integrative injury clinic can help connect the dots among the crash, delayed symptoms, spinal mechanics, and the body’s healing response. At Injury Medical Clinic PA, also known as Mission Plaza Injury Medical Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, works in a multidisciplinary model that includes chiropractic care, functional medicine, rehabilitation, personal injury care, and medical oversight. Dr. Maria Guadalupe Cardenas, MD, a board-certified internal medicine physician with more than 40 years of ...
