Abstract As a clinician with a diverse background in chiropractic, advanced practice nursing, and functional medicine, I focus on a whole-person approach to health. This post offers an in-depth, first-person perspective on a common dermatological procedure: excising a dysplastic nevus with moderate atypia. We will journey through the clinical reasoning, procedural steps, and patient experience of a field block anesthetic technique designed for a pain-free experience. I will explain the pathophysiology of atypical moles and why removing them is a crucial preventive measure against melanoma. I will also explain how this procedure fits within our integrative care model at the Injury Medical Clinic. This model is built on collaboration between me, Dr. Alexander Jimenez (DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST), and our medical director, Dr. Maria Guadalupe Cardenas (MD), an experienced internist. We will explore how combining chiropractic care, functional medicine, and conventional medic...
Abstract Chronic tendon pain, or tendinopathy, can be debilitating and significantly affect quality of life. Traditional treatments often provide only temporary relief, leaving many searching for more definitive solutions. This educational post explores a groundbreaking, minimally invasive procedure called percutaneous tenotomy , a technique transforming how we manage chronic tendinopathies like tennis elbow, plantar fasciitis, and Achilles tendinopathy. As Dr. Alex Jimenez, with extensive credentials in chiropractic and functional medicine, I will guide you through the science behind this procedure, drawing from the latest findings of leading researchers like Dr. Brian O'Connor. We will delve into the mechanics of devices such as Tenex and TenJet , which use advanced technology to precisely remove damaged tendon tissue under ultrasound guidance. I will also explain how our multidisciplinary clinic integrates this advanced procedure with comprehensive chiropract...
