FDA-Approved BOTOX Treatment for Chronic Migraine: Clinical Guidelines, Patient Selection, and Integrated Care For someone living with migraine, the difference between eight headache days and eighteen headache days a month can change nearly every part of life. It can also change which preventive treatments are medically appropriate. Consider two fictional patients. Maria experiences headaches on 18 days each month, with… Read More
By Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST Read More
This case follows a woman in her early 30s through seven months of care after a highway collision, treated in our office by Dr. Alexander Jimenez, DC, APRN, FNP-BC, a provider licensed both as a doctor of chiropractic and as a board-certified family nurse practitioner, together with our chiropractic, rehabilitation, massage, acupuncture and medical team. It shows how we examine,… Read More
The Anatomy of a Defensible Medical Record: Connecting Injury Mechanics, Clinical Findings, and Treatment Decisions When a personal injury case reaches an attorney’s desk, the medical record may become one of the most important narratives in the file. It should not read like advocacy written backward from a desired conclusion. It should show what happened, what the patient reported, what… Read More
By Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST Read More
From Diagnosis to Deposition: How Medical Experts Explain Injury Causation Under Oath Abstract. A personal injury case may begin with a collision, fall, or workplace event, but medical experts build the story over time. Treating clinicians document symptoms, examination findings, imaging, neurological changes, treatment response, and competing explanations. When those observations later enter a deposition or courtroom, the question changes… Read More
When Medical Causation Is Disputed: How Multidisciplinary Injury Evaluations Address Competing Explanations When an insurance defense expert reviews a personal injury file and concludes that “the findings were pre-existing,” the case does not end. It enters a more precise phase of clinical work. Defense arguments commonly assert that age-related disc changes, prior arthritis, metabolic disease, or inconsistent symptom reports fully… Read More
An integrated chiropractic and medical case: This case follows a woman in her early 30s through seven months of care after a highway collision, treated in our office by Dr. Alexander Jimenez, DC, APRN, FNP-BC, a provider licensed both as a doctor of chiropractic and as a board-certified family nurse practitioner, together with our chiropractic, rehabilitation, massage, acupuncture, and medical… Read More
By Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST Read More
What Happens at Trial When AOMSI and AMA Guides Ratings Are Missing from the Causation File Abstract When the causation file lacks AOMSI measurements and properly documented AMA Guides permanent impairment ratings, impairment opinions often collapse under cross-examination. Defense experts target the missing objective numbers, the lack of dual-licensure co-signature, and the incomplete methodology. This module explains how dual-licensure, co-signed… Read More
By Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST Read More
Why Medical Causation Is Justified and Required in a Texas Personal Injury Trial Abstract. A Texas personal injury case cannot stop at proving that an accident happened or that a patient later reported pain. The medical-legal question is whether the event probably caused, aggravated, or materially contributed to the diagnosed injuries. This article explains negligence, proximate cause, reasonable medical probability,… Read More
Pre-Accident Medical Baseline Reconstruction: Establishing Injury Causation Abstract Establishing medical causation after a car accident, workplace injury, or slip-and-fall requires more than documenting symptoms after trauma. Clinicians must reconstruct the patient's pre-accident health, including prior injuries, chronic conditions, diagnostic findings, and functional capacity. For El Paso personal injury attorneys and patients, a reliable medical baseline helps distinguish new injuries from… Read More
By Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST Read More
Personal Injury, Trauma & Spine Rehab. Specialists