Abstract In this educational post, I, Dr. Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST, share a clear, first-person walkthrough of how I approach forehead lesion excision using supraorbital and supratrochlear nerve blocks for precise, comfortable care. I explain the anatomical landmarks, procedural technique, and the physiologic rationale for regional anesthesia. I also describe how our multidisciplinary team —led by Dr. Maria Guadalupe Cardenas, MD (Internal Medicine; NPI #1164426749; Texas MD License #J2933) —integrates chiropractic, medical oversight, functional medicine, personal injury care, and rehabilitation at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas. Drawing on the latest evidence-based research and clinical observations from my practice, I show how integrative chiropractic care supports healing, reduces pain, and improves function before and after minor procedures. You will find fully explained anatomy, clinical reasoning...
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...
