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How to Treat Knee and Ankle Pain – Part 2
Nov 05

How to Treat Knee and Ankle Pain – Part 2

How to Treat Ankle and Knee Pain Naturally, Part 2

Hi, my name is Dr. Troy Giles. I am a doctor of Chiropractic and today I wanted to discuss a little bit about the continuation from our last visit about what to do with pronated feet. When the feet are pronating significantly I generally find, I’d say 95 percent of the time that there is going to be a curvature in the spine. So with Mady here, we are going to do some x-rays today and find out exactly what’s up. So first we are going to do a little measurement here and just see how she is here, thickness wise. So we have to make sure that there is exactly 70 cm. I am just setting up the machine, getting it all set up as far as…its pretty neat, because all I have to do is measure and put it in the machine and it calculates all the settings and everything. It’s pretty neat. So now we are going to put in the film. This is old school. A lot of the guys have digital and all of that stuff. I like old school because I can throw the x-ray up, like you’ll see here in just a minute. We can measure it and show exactly what’s needed. So this is what we are going to do first. So what this is rare earth screens. This is the actual screen and behind that is the x-ray film. So we put it in here and the rare earth makes it so it magnifies or potentiates the x-ray so we need less actual radiation going through Mady to make this be a picture. So have already got it set up for her as far as height. I just want to make sure that we’re getting in her shoulders. I am going to have her put her hands over here on the bucky a little bit. Scoot to your left just a little bit for me. There you go. Good. So now she is set. So, I am going to have Jake go out. Go back by your Mom okay? You are going to come over here. So this is the x-ray booth. You can just shine right through the window there. Okay Mady, just smile real big. No, this one. You want to go look through there so you can see her. Here we go. Good. So we have now developed the x-rays. So this is what we see with Mady. Not as much as I was expecting because of the amount of pronation in her feet was significant. They were tipped right over. So what we are going to do is fix that with a set of orthotics, but I wanted to see if she had a curvature, which in the low back is not as much as I was expecting. So actually, she is about like this. Because these are big sheets, we are overlapping a little bit in her spine. But this isn’t too bad. This is quite straight, but right then, there makes a significant turn to the left. So here is the right film marker. So it comes up and makes this turn right here. So you say “well so what, big deal” well, this will degenerate. If it is left like this, if we don’t pay attention to it, that area will start to degenerate over here. The discs will diminish. But, the overall look of the low back isn’t bad. This is the hips right here. That looks pretty straight. The femur head is right here. Those are like, literally, the same altitude, or the same height. So I am just going to measure what that looks like. So from the top of the femur head, down, is 10.2 and the top of the femur head down is 10.5. So it is a little bit bigger. 10.5 and this is 10.2. So she is down here on this side by 3 mm, which isn’t that big of a deal. And, because it is quite straight, I am not going to put a lift in it. Now, normally, I would put a lift on the orthotic. If that is the low side, I am going to take it and raise that side up so that now it can level. But, this looks pretty good. It’s only off just a little teeny tiny bit. There is definitely a curve right here in the upper back and that is going to cause her some stress between the shoulder blades. But, now that we see a picture of it, we can now start and do, actually, some, we are going to strap her right here underneath her arms. Okay? We are going to put a strap right here and I am going to have her bend over to the right side, into this curve, trying to stretch these ligaments on this side and helping her to force this back that way. Plus when I adjust her I’ll make sure that I am going to take from the right side, I am going to try to bend her and do some adjusting to take that curve and make it straight. You say “well, so what, guy, what’s the big deal, so she has got a little curve there”. It will progress if we don’t get it taken care of. That is just what it does. So that’s how it works. Now, one of the other points that I think is important to note is one the side view…now this is a little bit dark, but I am hoping you can see this. This is pretty significant curvature. This is from the side view. So you see it comes in and there is a lot of torsion right here and it comes back over here. So that is a pretty big curve front to back. That can be supported by doing some abdominal crunches, getting the abs to contract here and get these up tighter. That will help to push it back. In just doing some pelvic tilts, where you’re tipping your hip backwards. That will also help that. In her neck, now realizing she’s 10, so the cervical view, the side view, there is a pretty good curvature here, however, at 10 years old she is still 1 cm anterior, that means her head is being carried forward by 1 cm. So how we figure that, here is C1, 2, 3, 4, 5, 6, 7. So I am taking the center of C7 and I am going to draw a line straight up to the center of this vertebrae, which that means right here should be back here. So it is a whole half inch or centimeter forward. Well big deal, she is only 10. So what is the big deal? Why do we have to worry about that? Well, because everything that she is going to do from here out if forward. Every assignment she does in work, in school, or anytime she is on the computer, because we are a computer, monitors are down, her head is going to be forward. So everything she does is always forward, doing the dishes, loading the dishwasher, reading a book, writing, or whatever. Everything is forward. So what we want to try and do is get her head to come back, chest out. A lot of the girls, when they are younger, and they start to develop their breasts, they don’t want anybody to see and they will hold and round themselves, but they come back, shoulders back, head back. Get the computer monitor, so that the lower third, let’s go over here again. See, in my office, I have built my whole screen, my whole unit here on this lift. See down here I have actually got this. It is almost a foot podium that I have built my stand on. However, I did this, I built this before it was such a big deal to me. I am actually going to do, this week, raise this up so that this right here is up, so that as I am looking horizontal, the lower third of the screen is horizontal and then so it is going to be up to here. I am suggesting that that is what you do with any of your computer monitors. Get it up to where horizontally is at the bottom third so there is slight head tilt up. Because everything we do is forward. It makes us so that we have forward weight bearing and the weight of 1 cm. Okay, do you remember here? This is 1 cm forward. Because of her head, for every centimeter forward, there is 10 pounds of vertical pressure abnormally displaced on the discs of the cervical spine or throughout the spine. So we want to try and get her head back. So she has literally got 10 pounds of anterior pressure on these areas here. Also, the disc spaces are quite narrow. See this disc space here. The dark spot, this is bigger than it is here. Do you see that? This space right here is thin and this one isn’t and she’s 10. It is almost touching in the back. So I am going to suggest that we get in and do some decompression and actually pull this apart a little bit. Of course she is still growing and so forth, but even, it starts when we are young, 10 years old. So what we do is we have a cervical decompression unit where you can hang from the wall and that will lift up your neck and decompress those discs so that they will clump up, literally like putting more jelly inside the jelly filled doughnut. But, good thing though, the overall picture of why I took these x-rays is to determine if she had severe scoliosis. No she does not, just has that curvature up here and this would be considered scoliosis, in that, if I were to measure the angle here, it is greater than 10 degrees, so that needs to be taken care of, which we can do. So please, please, please don’t let your children be checked by the school nurse only. School nurses do a good job. They do a very, very cursory, brief, non-specific check for curvature. What they are doing is they have you bend over forward, so as you bend over, if you have severe scoliosis, one shoulder will be up, so you will be able to see this one coming up and that is what they are looking for. They are looking to see as you bend over that curvature is accentuated. Don’t just rely on that though. You want to see what is happening as they are standing. Ten years old is not too early for an x-ray. When you consider that an MRI, or a CAT Scan is about 100 x-rays. So Mady today just received four. So literally it is nothing. To make a change in her structure right now, when she young is vital. It’s just that important. I have been seeing Mady now for, since she was little. It is now time for an x-ray and now we know where we want to go to help her. So, I hope that has been beneficial for you. If you have any questions, please feel free to email me at my email address below or call us here at the office. See that number as well, or see us, look for us on familywellnesscenter.info on our website. All right, I hope that has been beneficial for you. I hope you have a great day.

 

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