Neuropathy Bone Pain

Hi, my name is Dr. Troy Giles. I’m a Doctor of Chiropractic and a Natural Internist and I have had an amazing week. I’m here with my friend Ryan from Tennessee. He came up. ltltHello. He came up after seeing a tutorial of ours on YouTube and felt like he had some bone spurs and when I mentioned that he could reabsorb some of those bone spurs by taking pressure off of the plantar fascia, it sold him on coming up to Utah, from Tennessee, to look at what were the possibilities. Did he actually.

Have bone spurs, what could we do So he came up and we did xrays of his feet. We actually found there were no bone spurs, but that most of his issues were in the plantar fascia. The plantar fascia, right in here, had been pulled so tight, and there were so much toxins in his feet because of the amount of sugar that he was eating that it was causing all of this pain on the plantar fascia. So now we’re in the midst of actually working on correcting the orthotic, getting the orthotic in an appropriate position, the best position.

That it can be and doing a little bit of posting that’s going to help his foot be in a better position. It will take pressure off of his feet. But as we’ve worked this week, and Ryan has a significant case of Turret’s Syndrome. We’ve noticed, and he’s known this before, that the amount of sugar that he eats directly relates to the amount of ticking that he needs to do. I’m not telling you that Turret’s is a matter of sugar, but the predisposition genetically that we have, some of us have a predisposition towards Turret’s, can be.

Increased by the issue of gut, how much fungus you have in your gut, how much sugar you have, how much sugar you ingest, and ultimately that creates fungus, then mycotoxin. Mycotoxins are very neurotoxic. So tell us a little bit about what you’ve noticed and just knock yourself out. ltltI’d rather. I think I’d rather stand up here. This floor is cushy here. So, my name is Ryan. I’m from Tennessee and Turret’s Syndrome, Obsessive Compulsive Disorder, all of the labels and the comorbids that you can think of. I’ve noticed that I got off, well I took myself off of medication about almost two.

Years ago. ltltWhat medication was that ltltThat was Abilify at that point, but I can go down the list if you want me do. ltlt Yah, fire off. ltltSure, Haldol, Prolixin, Zoloft, Flufenazina, well ProlixinFlufenazina same thing, generic, but Klonopin, Xanax, Tenex, Buspar, Prozac. ltltHoly Smokes. ltltYah, and there’s more. There’s more where that came from, but anyway, so I’ve had these ticks ever since I was six years old really. They got really bad and a pulmonologist put me on a medicine called Provigil because he thought I was narcoleptic, but I had sleep apnea because I used to way 110 pounds, more.

Than I do. I have this tick, where I flip off the camera, and when I start talking about vulnerable things it’s kind of a way for me to reject you before you reject me and that’s taken a lot of digging inside to realize that that is a defense mechanism and that’s all this stuff is. So when I get stressed or I get anxious, or even positive stress, stuff that my adrenal glands can’t handle because there spent from years of being on defense, fight or flight, I go right to sugar now. It used to be, I used to go to emotional posts.

On Facebook. I used to go to heavy music. I used to go to, I smoked a lot of marijuana to calm myself down. I drank a lot of caffeine, codependent relationships. So I was addicted to these things because my adrenal glands were spent and every time I would pump them and I would get stressed or sensitive or whatever, I would go to the drug to cover the stress to make me feel okay for half an hour. So now, since I’ve taken myself off of Facebook, Twitter, had to set up boundaries with certain folks, relational, you know, relationship.

Wise and what not, the drug is sugar. What I’m realizing is that the whole time the drug has been sugar and it’s perpetuated schizophrenic thoughts. I hear music that’s not around when I eat too much sugar. Manic actions, obsessive compulsive thoughts and actions, the ticks for sure, I start moving in really odd ways, usually it’s pretty balanced, but if I have too much sugar I’ll start moving asymmetrically, I guess, maybe that will work. ltltYah. ltltAnd it’s very complex from the way I lean to the way I use my foot to propel myself to do the tick, to the grid in my eyes and.

My brain of hitting certain points on other people with maybe a curve on your shoulder, the way I have to put my tip of my middle finger on the curve of your shoulder down your arm, and if it isn’t perfect and scratches that part of the grid in my brain, I have to keep doing it until it does and it’s based in fear. It’s based on rejection. It’s based in shame. It’s based on abandonment. So sugar, as it relates to the gut, to the digestive system, Reese’s Pieces, chocolate peanut butter, that’s what I love the most. I don’t really.

Drink caffeine anymore. I don’t really like fruity candies or anything. Thank you. I’m nervous right now. Like this is crazy, this is cool. I feel good. So I’ll go down the street and get some Reese’s Pieces, hopefully not. Anyway, so, when I, it’s everything, it’s ritual abuse. So when I get stressed, I think about, okay the light turns on, sugar. It’s almost like the yeast in my stomach is calling my brain’s name saying like look man you’re stressed out, but we can help you. We can help you, just feed us and we’ll help.

You feel good for 30 minutes. So it clicks on in my brain, okay I’m kind of stressed, so how can I get sugar I get very divisive when my wife or someone else keeps me from this drug. I start manipulating. I start telling them ways that they can be distracted and I can sneak out and get the drug so I call sugar a drug because it is and it’s very seductive and very benign, because it’s everywhere, it’s in everything and it’s causing a lot of this emotional tension, polarity, all of it, in my opinion, from 35 years of dealing.

With it. So anyway, so I think about the sugar, it’s everything, from getting in the car, to being elusive, to getting out of a situation to find it, to driving there, all the adrenaline that’s pumped and it may sound goofy, sugar, but that’s what I’m dealing with right now. So I’m driving, I sit in my car before I go in. I’m like well I know I’m destroying, I’m destroying my body and my wife is asleep right now and I’ve snuck out of the house to get sugar, so in my mind I go to I’m not being truthful with my wife. I’m not being trustworthy,.

So I go with that thought in to the gas station, pretend that I’m doing okay and happy, makes jokes about how I’m addicted to sugar, talk to the attendant, maybe they can offer me some sort of whatever. So I grab the sugar and I load up. I spend nine dollars a night on sugar. So I’m stoked, walking out. I have a pep in my step, like I’ve just shot up with heroine, or better yet cocaine, probably not heroine, because I’d be on the floor. Anyway, so I get back in the car instantly the thoughts start. Okay I’m destroying my life. I know.

I need to quit, because when I don’t eat sugar I don’t have ticks. I don’t have the thoughts that are happening now because of the adrenaline, so I eat the sugar. I’m like man, that’s incredible. I eat the sugar and then all the sudden within five minutes my mind starts going. I start jumping from my past to my future, to where I’m at right now, to what am I going to do when I get home. Is my wife going to be up Is my dog going to be loud Am I going to.

Be able to wake up in the morning and feel okay Am I going to be able to go to the bathroom Do I need to eat something when I get home to sustain me after I eat the sugar How much water do I need to drink. I race. My mind is just constant. So I go home. I put on some sort of media, entertainment to distract me and I pound the sugar. So then I notice that I bloat, I like, it hurts to the point of where I feel like I’m stretching like a balloon.

And so I sit there and I’m like Oh, man I shouldn’t have done that. I’m destroying my life. And I shame myself because I’ve shamed myself in the past. So it all comes back to the forefront of my mind. So if I’m able, if I let the sugar tear my gut apart, when my gut is already destroyed from 27 years of pharmaceuticals, the sugar is creating the fungus and the yeast, like Dr. Giles said, the fungus emits a gas and so then the gas causes the bloating. What I didn’t realize, what you helped me realize was the gut doesn’t.

Only swell out, it swells every three dimensional. It swells everywhere. ltltLook right here Tyler. ltltSo what he’s saying is this is the fungus, and this is what creates the air, the bloat, as far as gas, but the inflammation thickens, this actually thickens up. That’s what he was saying. ltltYah. And this, I’ve learned a ton from him this week and just about things that I really hadn’t even thought of, and I thought I was really in tune with my inner butterfly. Do you hear what I’m saying So Tyler, do you hear what I’m saying Okay, so I’ve looked.

At this diagram and I’ve looked at this one, and all of them and I’ve sat here just examining it and all I see are the negative parts of it, if you look at this detoxification. All I look at is the top, because even though I spend a lot of time talking about my organs, I don’t really understand what’s happening here. So it’s taken, Dr. Giles has helped me understand looking at the shame, the negative to how to heal it and that’s, I think that’s what we’re all looking for. So if I can heal and seal my gut lining, do the work on nutrition,.

Because I think a lot of times people don’t get well because of their level of rebellion and non compliance to regaining their life because we eat these things when we get stressed. So next time you get stressed, maybe you could just maybe be aware of what go for, you know, what the drug is, because we’re all addicted to something. That may be a little presumptuous but I’m part of everybody and even though I feel crazy, I know that I have a lot of the same thoughts as everybody else. ltltGuess what You know what You are not.

LtltThank you. ltltYou are not different than the rest of us. ltltRight. Right. ltltI promise. Anybody watching this tutorial right now. You sit on the couch at night, many times, many times we sit and we pound the chocolate. Women have a preponderance for chocolate. ltltI must be a female then, because I love chocolate. ltltMen oft times go for the more salty things, salty foods, but the issue is it’s still a drug no matter what. You see that So the idea is to build a, you hit it on so well, but this Wednesday we were teaching a class.

On diet and Ryan was with us and it was so amazing to have his insight as to what he’s felt with the Turret’s associated with the stomach and how that, and then how you feel, the emotional part of it. ltltOh yah, yah. ltltBecause all of us are sitting there with our own addictions, don’t care what it is. Think about what your addiction is. We all have them. Someone who is a heroine addict, oh shame on you because you’re a heroine addict, you know Holy smoke, we’re all addicted in.

Some way. ltltThe addictions, it’s the same across the board. It’s been what we’ve been taught and the level of destruction that we see to place importance on the addiction. So someone could have an addiction to Facebook and then another person could have an addiction to heroine, so we see the narcotic destroy the body of the heroine addict, but what we don’t see is the emotional distress and the call for other addictions that may seem more benign in the Facebook user, because when we get on social media and our opinion is just flying constantly and we’re listening at what 4,000.

Other people are saying at the same time, it seems like it takes us away and we live in other spots in our bodies. We’re not where our feet are. So, of course, the heroine is horrible, but in the same regard, if you really break it down, every addiction, in itself is destructive, whether it’s pornography, whether it’s codependency, whether it’s shaming oneself, self deprecation, it all is based, in my opinion, nice, in the addictive properties of the world we live in today. So every time we look at a billboard or a TV screen or watch.

Someone as they hypnotize use, we take on the things that they’re telling us and if we’re not immune to resisting these addictions and resisting certain foods even, those hypnotic messages are going to plant themselves and take a nap inside of our psyche in side of our brain and we’re going to have to compare ourselves to everybody else. And when we’re not instantly gratified with quick fix we go to pharmaceuticals. We go to other addictions. I guess, if you can build your immunity, which is based in your gut, first and foremost.

Ltlt60 percent runs in your gut. ltltRight and it makes sense, because I don’t think Turret’s or anything of these neurological disorders are as brainoriginal as I once did, as what I was taught. I believe it’s based in the gut, structure. There’s a lot to be said about forgiveness in neurological tension. There’s a lot to be said about rest and being quiet and getting still. I was a thrasher for a long time. I played heavy music. I toured a lot. I was a very loud person and I didn’t realize that all of that tension,.

All of the unforgiveness was stuck in my bowels and now I haven’t been able to go to the bathroom for a long time on my own, good to meet you, you know, but I’m working on that and I’m realizing that I’m having to repair all of the hypnotic destruction that I let inside to my interior because that’s what it’s doing. My interior isn’t strong so I’m letting the exterior implode me and I feel like I’m just, I feel, I feel isolated and just alone and dead inside. In my thought that is, I’m not talking conspiracy, I’m just.

Saying, like this is how I, how I’ve witnessed it happen to me. Everything is telling how I should be and it becomes a parasite that I’m having to peel off of myself to get to my true self and understand that I do have worth and purpose and the things I do and the things I let in to me greatly affect my thought processes, affect my relationship with my wife, affect my physiology, my neurology, all of it. So, sugar, at the end of the day, is highly addictive and greatly affects the neurology and physiology of the human, so.

LtltThat’s awesome and when you say being hypnotized by what’s out there , you know you’re not, we’re not waving a watch in front of you, but the hypnosis of our media of everything that’s around us, we think we should be a certain way, that’s what drives us. So what you’re saying is monitor what you’re seeing, watching, and filter it, get it away from you, because it is, it makes us think that we’re not as good as we are, or should be, really. ltltAnd the last thing I’ll say is I had a lot.

Of tattoos and a lot of, you know, I lived a pretty tense and eventful life, if I could say, and to say that I’ve had to separate myself from certain media and stimuli is a big deal because I felt like I was strong enough to handle those things and maybe some of you are. I guess I wasn’t and I’ll admit it. I’ll surrender to that, you know But, next time you consume something, whether it’s a TV program, or food, or whatever, or a conversation, understand how it makes you feel and maybe feel it, see if you can feel it in your body,.

Where that tension or where the emotion is coming from because a lot of times the energy that it creates is almost like, the messages that we receive and the way it hits our body is indicative of the neurological issues that we have. So it’s, if you want to watch a violent movie, I feel it in my chest and I feel it in my eyes, like I just can’t handle that anymore. If I watch a very dramatic movie, I feel it in my back and I feel it in my stomach.

So, you know, when you eat something, listen to something and hear something, maybe just be aware not to, you know, not overly analytical, like a guy like me I guess, but, you know, just sit back and be like how did that effect me. So I don’t know, just thinking. ltltCool. Yah. I hope this has been beneficial for you today. I’m just, Ryan, really glad you’ve been here this week and thanks for sharing with our patients and those on YouTube. So have a great weekend. For so long when he would, and I can be open with this, when he would have a bowel movement sitting on the toilet, he would raise up one.

Leg and drop a shoulder, but he figured out for, we don’t know how, but when he did this it allowed him to have a bowel movement. We did the xrays and will notice here on the right side he has a 9mm, that means almost a full centimeter short leg on the right side. See this from here to here is dropped. This is dropped down. This is causing the sacrum to drop and now he’s got a curvature to his right and he’s got a curvature to his left.

KT Tape Top of Foot

I’m Chris Harper, and with me is Makayla, and we’re here to demonstrate an application for top of foot pain. This is when you have pain across the top of the foot and ankle. Some causes of this may be overuse, tight poorly fitting or worn out shoes, running on uneven surfaces may also be a cause. KT Tape helps treat this condition by relieving pressure to reduce pain, relaxes associate muscles, and may increase circulation. For this application, I’m actually going to place a red dot just on top of the foot. Your pain may vary.

By location, but we’ll just use this as a reference. Okay, and position wise, we’re actually going to place the foot in plantar flexion, or in other words, toes pointing away from the shins. For the first part of this application we’re gonna take a full strip of KT Tape. Folding that in half. We will take a pair of scissors and cut rounded corners on the folded end of the tape. Rounding the corners helps prevent the tape from rolling up or catching on clothing. We’re then going to twist and tear the backer paper right in the middle of that.

First piece. Peeling that paper back, being very careful not to touch the adhesive part of the tape. We’re then going to apply this over that point of pain with eighty percent stretch. So we’re going to stretch that all the way out and then back that off just a little bit, and then place that over the point of pain. We’re going to just pinch off the ends and lay the ends of that tape down with absolutely zero stretch. So the only stretched portion of that piece is in the middle.

We’re going to give it a good rub especially on the edges so it sticks well, that creates a little heat. Okay, we’re going to take our second piece, and we’re going to tear again right in the middle. This is from that first piece we cut. We’re going to apply nice even pressure with our thumbs, going over at that point of pain once again, just a little bit higher. Eighty percent stretch, peeling off the paper, and laying down the ends with absolutely zero stretch. And for our last piece, we’re going to take a full strip.

This time we’re going to tear the tape down by the logo end. This creates an anchor point that we will place just beyond those first two pieces on the skin, but behind the toes. We’re also going to flex the toes to stretch the skin over that area. We’re going to peel the paper back, but again handling the tape with the paper only. We’re going to now put a fifty percent stretch on this, so a hundredpercent, then backing half way off. And now laying that down on the skin, and in the very top part we’re going to take off.

That paper, and place that down on the skin with absolutely zero stretch. We’re going to give the whole thing a good rub just to make sure the edges are down over the entire application. A little friction creates heat, heat activates the adhesive on the tape. In fact, KT Tape sticks better to the skin once you get active with it. Okay, that looks great. Some helpful tips before applying are to clean the skin very well, remove any or oils or lotions you may have on. Also, clip or trim the hair on the top of the foot and lower leg. You can also wear.

KT Tape Wrist

I’m Chris Harper, and with me is Makayla, and we’re here to demonstrate an application for wrist pain. This is when you have pain generalized in the back of the wrist or just over the wrist area. Some causes may be from working for prolonged periods on a computer, overuse in sports, landing on an outstretched hand, or carrying heavy loads. KT Tape helps treat this condition by relieving pressure to reduce pain, relaxing associated muscles, and may increase circulation. For this application we’re going to position the wrist with hand down, in.

A neutral or slightly flexed position. For my First piece, I’m going to take off a full strip. I’m folding that in half, and on the folded ends, we’re going to cut rounded corners. Rounding the corners helps prevent the tape from getting caught on clothing. I’m going to take my first piece, I’m going to twist and tear the backer paper right in the middle, and peel that back, being careful not to touch the adhesive part of the tape. This can affect it’s adhesion. So we’re going to place this on the back of the wrist with eighty percent stretch. What I’m going to do.

Is stretch that out a hundred percent, and back that off just a little bit. I’m going to place that down, and without going fully around the wrist, I’m just going to pinch that off so it’s adhered well. Then I’m going to apply the tail ends of the tape with absolutely zero stretch. So I’m just applying that down and peeling that paper off. Make sure that’s stuck. And then take this one off with absolutely zero stretch. For my remaining piece that I cut, I’m tearing that in the same manner,.

Twisting and tearing the paper and peeling that paper back. I’m going to apply pressure nice and evenly with my thumbs, avoiding pulling the paper with my thumbs in the middle, but more like this. And we’re going to apply at eighty percent , so stretching fully and then backing off a little bit. And just put that down on the wrist and pinch off those ends. The reason I do this is I don’t want to form a tourniquet around the wrist. So that’s why we’re not using one full piece, were actually.

Using two half pieces to do this. I’m going to lay these ends down with zero stretch just like I did with that first piece. So I’m just taking that backing paper off and laying those ends down very carefully with the no stretch. Okay. For the third part of this, I’m going to take another full strip. This time I’m going to find the logo end of the tape. I’m going to twist and tear the backing paper to form an anchor on the end. Again I’m being very careful not to touch the adhesive of the tape.

We’re going to place the wrist in a flexed position. I’m going to place the anchor on the top of the hand with absolutely zero stretch. I’m just giving that a little rub so it adheres well. I’m going to peel that people backing off trying not to touch the adhesive and leaving a little bit of paper on the end for me to handle the tape without touching that adhesive. So I’m going to place this on twenty five percent stretch, so if I stretch that fully, back that off and back off half way again.

And lay that tape down all the way up the arm, except I’m going to leave this last little bit with absolutely zero stretch. So, twenty five percent stretch, and I’m going to give the whole thing a good friction rub just to make sure it’s well adhered. Okay, that looks good. Some helpful tips before applying are to clean the skin very well, remove any lotions or skin oils. Be careful with washing your hands, you may want to pat the area dry so you don’t roll the tape. Also, shaving or trimming the area of any excessive hair is helpful in adhesion to.

Winning Strategies for Back Pain Disability Cases

Hi there, this is Jonathan Ginsberg and today I’d like to talk to you about how I approach a case where the primary impairment is back pain As you might expect Social Security judges see a lot of back pain cases its probably the most common physical ailment that Social Security judges are going to see and as such you really need to keep in mind that you’ve got to stand out a little bit because a lot of people come in with osteoarthritis and pain in their lower back.

And again because judges see it so often how they tend to sometimes discount the severity of it and whether in fact it is truly disabling. Further you have to realize and this is something you probably wouldn’t think about, but it’s actually the case some of the judges that I’ve been in front of have actually had back surgery because again back problems are pretty common in the population and of course a lot of these judges have very good insurance they have physical therapy afterwards, they have good doctors and so forth.

And so their recovery might be more uneventful than yours. Again, a judge is not doing physical labor and again he has got typically real good health care. If you’ve done physical labor or if your health care is not as good you don’t have access to physical therapy or or medication or as much follow up then you may not have gotten the same results as the judge but again the judge who’s deciding your case is looking at you saying I went through the same surgery and I’m fine. You know I can’t play basketball anymore but but.

I can play golf and I can do a lot of different things and he or she you may feel like well you know I’ve recovered how why can’t you And, again, that’s just human nature but just be aware of it. I’m not saying that makes the judge not sympathetic to you but just be aware that you need to do something to stand out a little bit and show the judge that your situation is one that did not resolve as easily as his or hers may have. I think that when you deal with back pain cases.

Like in any Social Security case number one you want to emphasize if you’ve got a long work history. I think this is a factor that you may not think about but this is i think a factor that many judges find it very very compelling. If you have a long consistent work history where you’ve been in a job, you’ve performed admirably at the job you’ve made good money at the job. people don’t give up good jobs and opportunity for retirement, a pleasant retirement, to collect $1,500 or $2,000 from Social Security. So, if you’ve got a long work history.

Especially if it’s been with one company emphasize that and let the judge know that you’re not leaving your job because you want to retire but because you have really no other choice. By the same token also explain to the judge that you tried to look for a job that was less demanding on your back. I think in back pain cases unsuccessful work attempts and that would be defined as a job attempt at lasted less than three months that can be very persuasive. If you show that you went to 2 or 3 different places and.

Tried to do different types of jobs maybe at job one there was too much standing and at job two there was too much sitting. if you show that you’ve really tried to work but you could not find anything that would fit your a particular profile and your capabilities judges find that compelling. Be aware of course that once you get beyond 3 months it looks like a a real work attempt and that could be a problem. So I’vet discussed this in another tutorial which I’ll have a link here.

Onscreen but be careful about work attempts that last longer than 3 months that can be an issue. But if it is less than three months even multiple unsuccessful work attempts can be fairly compelling evidence. I think with back pain cases you need to be prepared to show diagnostic studies ideally, an MRI, that shows a herniated disk or multiple herniated disks. CT scans can also do it. Realize there’s a difference between a bulging disc and a herniated disk. A bulge is not as serious and a lot of people.

Walk around with bulging discs without problems and they’re able to function, whereas a herniated disk is something that’s a little more serious takes longer to recover from so ideally our judges are looking for herniations although bulges at multiple levels especially if the bulge impinges upon your spinal cord that can also be helpful but again judges are going to look for diagnostic tests. Xrays are not to do it it’s going to really need to be an MRI or CT and of course I know those are expensive and sometimes it’s hard to get them.

But if you don’t have them that’s gonna make your battle a little more uphill. So I think that ideally you should have diagnostic tests and also to that same point I realize that disc problems can heal so if you have an MRI from four years ago, the judge isn’t necessarily going to believe that your back condition is exactly the same now. So again if you can get a repeat MRI showing that the herniation is still there and you’re still having problems or that your problem has gotten worse, that could be.

Helpful. And I think that just as you want to show that you are that you tried to work if you’ve got back problems show that you’ve been completely compliant with your doctor’s proposed therapy, whatever it may be. If the doctor tells you lose weight, try it even if you’re not successful. If you try and show that you made a good faith effort to do so sometimes it’s hard to lose weight. either A because you’re not mobile, or B maybe you’re diabetic or there’s other issues but show that you gave it a try.

If you smoke you should stop smoking because again as you may know a lot of doctors will not do surgery on people who smoke and again that just shows you’re making an effort to try to improve your situation. Judges appreciate that that somebody who has a health problem is doing everything he or she can to improve that situation even if it is not directly related to the back problem it could be to your general health. I mean losing weight or stopping smoking smoking could be two of those factors. I think you should be completely compliant with.

Treatment and just my experience has been that when somebody has a back problem typically the doctor will start off by offering some form of physical therapy to try to strengthen the muscles surrounding the back and so forth. That may not always work but again that’s typically the first part of what they call conservative treatment. Secondly they may suggest epidural steroid injections or blocks and and these are different types of minimally invasive treatments where they inject your back or they do radiofrequency to kill off nerves and these are things that are short of surgery but can provide relief sometimes.

Longterm relief and if the doctor recommends that and you go through it and still are not having any success again that shows your trying your best. and these things can be painful, by the way, so again the judge will recognize that if you’re not able to get relief from these things but you’re trying it that showing some good faith. typically after that surgery would be the next option if you’re a surgical candidate. of course not having back problems a surcharge surgery candidate um. and by the way judges do not hold it against you shouldn’t hold it against.

You if you decide not to undergo surgery they recognize that um. back surgery is pretty major surgery to pretty invasive and if you choose not to go that route uh. judge full was not supposed to my experiences they won’t hold that against you specially if you can explain why you didn’t have surgery and be prepared answer why a lot of times because i my doctor said that you know there’s a possibility i could be paralyzed through this form linen improve my pain in my situation would be better.

Uh. that will be res one one would not have surgery so again be prepared to answer that question but that’s a that’s an issue there on the surgery not an option or if it is an option it’s not successful uh. the next step in the process of something called longterm pain management that’s usually where i do have a doctor or prescribed and lot of orthopedic practices have this uh. prescribed a longer narcotic pain medication pain medications to let you uh. somehow live with some comfort and of course the risk there is that you know you get addicted to the pain.

Medication or the have side effects odyssey drowsiness a big problem constipation within hours of the problem things like that but again if you’re in along from pain management if somebody’s coming in there and method of their own some sort of a hydrocodone uh. dredges recognize that those can have longterm effects and again you want to emphasize that you don’t want to be on the use of pain medications but it does allow you to function in men on the way uh. but that’s kind of wood resident judges are looking for.

Um. they’re looking for um. extensive and ongoing treatment it’s it’s it’s not good if you have been of doctrine two years uh. he was getting pain medicine refilled future we try to get to the doctor um. i think that a lot of people of longterm back problems also have a level of depression i think this is especially true for men uh. if you’ve shearing chronic pain and it’s not unusual to become depressed and uh. i seek treatment medications are therapy for depression that something that’s pretty consistent form from back problems.

On i think finally when you have back issues he’s be prepared to give very specific descriptions of your capabilities again um. in a back pain case the judge is going to know how long can use it how long can you stand how much can you left and again you want to be thinking in terms of very specific numbers avoid not very much for not very far and i think judge says for example how long can use it a good answer would be i can sit for ten to fifteen minutes and i’ve got to stand.

Up and walk around for ten to fifteen minutes to stretch out i can do this true three times i can maybe sit for a total two hours in the day uh. but after about two hours of selling even if i’m standing moving around my pain level gets the point that it take a pain pill and i’ve got to lie down so be prepared to give totals because again um. if you can sit in standard with the new going back and forth then there are jobs which was called and said stand option that you could.

Theoretically do but if your total capacity for setting is three hours an eighthour day in to our standing in an eighthour day even with breaks that’s only five hours have stymied hours nonstop fulltime more continued oneself be prepared to give very specific examples uh. how long you can be very strong chins i’m i’ve literally sitting judges take that testimony unplug it right into the question they give to the vocational witness and of course uh. vocation witnesses can ensure no jobs and and we went south be prepared to be great be very specific.

And remember stay away from that very long not very far or it depends in an everyday is different you need to do to get an answer and it’s very important to know how to make sure that your answers are and compare with your attorney i found representing you will do it at a time when their you know we could to before the hearing uh. make sure that what you’re describing is not fulltime worker noticable to full time work because how you want to show that you’re not going to be late hours of work.

I during the course of the day um. generally but how do you get to the hearing most of time these cases are decided on front row capacity and there is of course the worst thing for muscular skeletal muscle celts cultural promises listing one uh. very hard to beat the listing in investi medical evidence is really compelling and somebody uh. the stations who dropped the ball it’s not to be listing level uh. suffer the most part you can argue functional capacity uh. you could argue the grid rules.

Uh. if you’ve got a limited education women who work background because again fear physical problems and the real education and the new work background uh. some of the grid rules could applies to take a look at those um. most of the hearings i do what they’re gonna be functional capacity who were arguing that your capacity to perform reliably and even a simple entrylevel job uh. with the sit stand option he’s not there because of limitations physical intentions as well as pain antisocial limitations that arrived for the pain.

I need problems of concentration focus uh. reliability and so for so that’s how our approach back cases again big picture is there’s a lot of not there a lot of judges cm all the time so you want to make sure that that all your tease you crossed and i’s are dotted you’ve got a compelling evidence so you’ll stand out a little bit from the crowd i hope this has been helpful going my name is jonathan ginsburg a social security disability lawyer here in atlanta trivia questions feel free to give me a call.

Sciatic Nerve Pain Stretches Exercises Ask Doctor Jo

Hey y’all, it’s Doctor Jo and my assistant with me today is Bailey again. And today I’m going to be talking about your piriformis. So lots of times I hear people say they’ve got that sciatic nerve, well actually everybody has a sciatic nerve, but you can have pain coming from that nerve, and a lot of times that piriformis muscle is causing the pain. So we’re gonna show you some stretches to stretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alright let’s go on to our backs. Here we go. I think.

We’re gonna maybe move Bailey out of the way. In the first stretch for your piriformis is a pretty simple one. A lot of pictures you may get from your therapist will actually show one leg down, I actually like for you to have it staying up so you can prop your foot over it. So your gonna make almost like a figure 4 with your legs and then what you’re gonna do, the side that’s hurting, so my left side is hurting, I’m gonna cross that leg over. And what I’m gonna do is I’m gonna bring my knee with my opposite hand towards my shoulder.

Over here. So I’m pulling this leg up and across my body. And what you wanna do same kind of thing with all the stretches, you wanna pull and you wanna feel a stretch under there. Soon as you feel a really good stretch you wanna hold it for 30 seconds. So remember up and across the body. Just coming up is not gonna get that piriformis stretch. But coming up and across the body like I’m trying to bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds. And then coming back down and you wanna do.

That 3 times. Now the next one to do, sometimes this is a little harder for people, but what your gonna do is your gonna keep that same figure 4, and what your gonna do is your gonna take your hands and on the opposite side that it’s hurting, so the hurting side is still up crossed over it’s still my left side. I’m gonna take my hands and put them underneath my thigh, and I’m gonna bring my leg up, and I’m gonna pull until I feel that stretch underneath.

There. Now some people might have a hard time grabbing on to their leg here, so again you can use your belt, or your dog leash and put it under, around your leg, and pull up towards you like this. Same kind of thing, you want to hold that stretch for 30 secondsbye Bailey, we’ll see you later and then 3 times each. Alright, so now you’re gonna bring that down getting it nice and stretched. For those of you that need a stronger stretch, those might not be stretching it out quite as much, what I’m gonna have you do is I’m gonna have you.

Turn over. And what your gonna do is the side that’s hurt again, my left side, I’m gonna bring my leg up across. Now as you can see, this is something you have to be pretty high level, pretty flexible to do, but it’s gonna get a fantastic stretch. So your gonna put your knee over across your body, and bring your body down. So it’s almost that same concept, you’re bringing that knee towards the opposite shoulder, but what you’re doing now, is you’re using your body weight to bring it down. You can stretch that back leg as far as you can.

You can bring your arms down, but that knee is essentially going towards that opposite shoulder. 30 second stretch, 3 times each. Alright and there you have it. Those were your piriformis stretches. So if you had some pressure on that sciatic nerve, hopefully that will loosen it up a little bit. So if you like my hair, or if you like the stretches, please click like and leave me a comment. And if you’d like to see some more stretch tutorials, or if you’d like to go see some educational tutorials, please go to AskDoctorJo. And.

How to Use a Bone Growth Stimulator for Fracture Healing

Hi, my name is Taylor, I’m one of the medical assistants, and today I’m going to show you how to use a bone growth stimulator. When a bone growth stimulator is ordered, this is what your kit will include. We use a bone stimulator for fractures that don’t like to heal, usually after postops. If we do a fusion on a bone and it doesn’t like to heal properly, we’ll order one of these for you. So what you’re going to do is you have the device here, it looks like a little wrap,.

You’re going to wrap it right around the fracture site. It just velcros right on top of the foot here. This little cap here, you’re going to squeeze the sides and open it up, and inside there’s going to be a little hole. The machine also comes with some ultrasound gel it’s kind of like an ultrasound, so you’re going to want to make sure you keep the gel right in the middle of the foot. You’re going to squeeze a little bit right into the center. After you apply the gel to the middle of the foot, you’re going to want to put this little.

Device right in the hole here. You’re going to close the cap, but when you close the cap, make sure the wire is where the gap is, otherwise it will not shut all of the way. Pop it right down until you hear the click on both sides, then you’re going to turn on your machine. In the middle there’s a big purple button here go ahead and hold it down. When it comes on you’re going to see a time flashing. You’re going to set the date and the time.

To link your procedures up. You’re going to want to do this twice a day, so it allows you to know what time and what day you’re going to do it every time. We’re just going to bypass this today when you see this timer right here, it starts with 20 minutes. When the timer runs out, the procedure is done. That’s it! After it’s done, turn it back off, press the sides in again to open it up, and just take everything apart. That is how you do a bone growth stimulator.

Sciatica Leg Pain Relief

Rtf1ansiansicpg1252deff0deflang2057fonttblf0fnilfcharset0 Arialf1fnilfcharset0 Calibri generator Msftedit Hi, I’m Paula Moore The Chiropractor and I’m going to show you a sciatica leg pain relief exercise. It should be know that the majority of people who come to see me as patients who have been diagnosed with sciatica, don’t have true sciatica. They do have leg pain that is mimicking sciatica. In other words, it is running through the buttocks and down the thight, right down to the ankle but it stems from a different place. It’s not the sciatic nerve. It is from a tight muscle in the buttocks,.

Known as the piriformis muscle. It clamps down over the sciatic nerve giving you sciaticlike symtoms. par You chiropractor can tell the difference between these two. True sciatica and a piriformis muscle problem. I’m going to show you a stretch to get rid of the piriformis muscle problem and the resultant leg pain. If you do this stretch and notice your leg pain starting to decrease, you probably didn’t have true sciatica and that’s great, because sciatica is harder to treat. par So you want to sit fairly close to the wall and swing your legs up so your heels touch.

The wall. If you leg pain is on the left, then take your left ankle and place it over your left knee. Now some of you might find that this position is already very difficult to get into because your piriformis muscle has become very tight. If you want to increase the stretch, shuffle up closer to the wall with your buttocks. If you want to deepen the stretch yet again, slide your right foot down the wall so that your knee is bent. You can increase the stretch by gently bringing the left knee toward your opposite shoulder. That is the.

Tibialis Posterior Exercises and Navicular Drop Test

Unilateral Balance The participant stands on one foot and raises the medium longitudinal arch while maintaining balance. The participant is not allowed to use the wall for balance or support. The participant should keep the knee slightly flexed over the toes throughout the exercise. This shows the wrong knee positioning. Closed Chain Resisted Foot Adduction Participant is seated with the knees maintained at forearms length apart and flexed approximately eighty degrees. The feet are flat on the ground. Participant is asked to stabilize the leg by placing the contralateral forearm between the knees and reinforcing it with the ipsilateral hand.

A green theraband is then looped around the distal and medial foot. The band is stretched laterally to full tension while maintaining a 45 degree angle of inclination with the floor. The band is attached to the wall with the goal of maintaining constant tension throughout the exercise. The participant starts from an abducted position and slides their forefoot into adduction and slowly returns to the starting position. Each participant’s individual foot range of motion in the transverse plain is marked on the floor and that range will be achieved with each repetition of the.

Exercise. The foot must remain flat on the floor during the entire exercise. Closed Chain Unilateral Supination The participant stands on one foot with the knee slightly flexed on a step with the medial side of the foot over the edge of the step. The other leg is hanging in the air. The participant lowers the medial longitudinal arc as low as possible and raises its again slowly. When conducting the excise only the foot should move and not the whole leg. The participant should focus on keeping the knee over the toes during the exercise.

Fingertips can touch the wall to provide balance but not support. Bilateral Heelraise With Ball The participant is in a standing position with a ball between the medial malleoli. They slowly lift their heels off the ground and transfere weight onto toes and then slowly lower again. When performing the heel raise the participant must squeeze the ball between the malleoli. The knees remain extended throughout the exercise and the participant can place fingertips on the wall for balance but not support. Navicular Drop Measurement The participant will be placed in a sitting position with their feet flat.

On a firm surface and with the knees flexed to ninety degrees and ankle joints in neutral position. The most prominent point of the navicular tubercle will be identified and marked with a pen. Subtalar neutral position will be established when talar depressions are equal on both the medial and lateral side of the ankel. Then, an index card will be placed on the inner aspect of the hind foot with the card placed from the floor in a vertical position passing the navicular bone. The level of the most prominent point of the navicular tubercle.

Will be marked on the card. The individual will then be asked to stand without changing the position of the feet and to distribute equal weight on both feet. In the standing position the most prominent point of the navicular tubercle relative to the floor will again be identified and marked on the card. Finally, the difference between the original height of the navicular tubercle in sitting position and weight bearing positions will be assessed with a tape measure rendering the navicular drop amount in millimeters. The navicular drop will be calculated for both feet.

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