- Yeah, so you a-ray fix my cha-ge right there.
- Mm-hmm.
- And these too, right there.
- Mm-hmm.
Okay.
- And this in the back.
- Got it.
- Over this part.
- Got it, okay.
Come sit down, let's clarify, so what we're seeing here, k.
This right over here, this is a ganglion cyst.
How long that's been going on?
- Ah, this, ah...
Eight months.
- About eight months.
- Eight months.
- Your fibular head, causing pain all the
straight down to this way?
- Yes, all the way this.
- And how long this been going on?
- This, ah..
Four months.
- Four months, alright.
Alright, let's get to work.
Okay, so there's two areas that we want
to take a look at neurologically wise.
I want to focus what's going on in this region over here
and also this region over here,
in addition to what's going on.
The diagram over here shows this is where it's involved.
Where the fibular head, right over here,
right at the common peroneal nerve.
There's something very similar on the opposite side,
on your left side.
That's where you're feeling that discomfort.
- Okay.
- So now, all we're going to do is this over here,
we're going to take a look at this region over here.
You see how the nerves produce all those straight down
to this region right over here.
We're gonna take a look what's causing that ganglion cyst.
And I'm gonna take a look all at the source,
straight to the base of your neck.
Next component, we're gonna take a look
at structures over here, any potential structure
abnormalities that may cause a significant rotation
in your knees, and cause an irritation to
that common peroneal nerve over there.
- Okay.
- Okay, there are several structure abnormalities
we identified on this x-ray.
So the spine itself, we have this foundation over here,
a significant rotated towards this way by five millimeters,
so right over here, and you still have a rudimentary disc
at the sacrum, we need to correct this one over here.
- Alright.
- In addition to, this fifth lumbar over here,
we need to address this one in a future visit.
In addition to, your second dorsal vertebrae,
right over here, we need to address that one, okay,
that's one that's radiating all straight down
and may be responsible for that ganglion cyst.
The next structure abnormality we identified is this,
overall, your carpal bones, k, the bones in your wrists,
they're not that bad.
However, what we have identified is this radius bone
over here should be, right now it's over here,
and it should be here.
- Oh no.
- Exactly.
So, in your case,
right over here, this bone over here, your radial bone,
shifted significantly upwards over here.
As a result it irritated the nerves, and possibly causing
that, right, possibly causing that ganglion cyst as well.
So we need to correct this,
and also the second dorsal vertebrae as well.
In this structural analysis, and what we see in your knees.
I wanna see this parallel.
Right now it's gapped-over like this,
on this side over here.
That tells us, this bone over here,
there's significant rotation over here.
But more telling is, over here, the fibular bone,
I wanna see a little more forward,
but as yet it's backwards.
There she goes, right there.
Right there.
So, as we can see over here,
there's quite a bit of swelling
on the left side versus the right,
and we're going to motion palpate this one over here.
It doesn't move at all, stuck on the left side.
Freely moves on the right.
Feel that difference there?
- Yes.
- See, now we're gonna check your right hip,
moves forwards and backwards without a problem.
Left hip moves forwards and backwards
without a problem, so we identified that sacrum,
and more importantly, you feel a little speed bump
right there, so it's the second sacral segment
right over here, that's the one we need to correct.
And again, we see, I'm sorry.
We also see quite a bit of swelling on the left side
over here, not too much on the right.
Muscle spasms much more on his left side versus the right.
Quite a bit of swelling right underneath here.
And if we motion it right here, stuck.
It's kinda tender on you, right?
- Yeah.
- Yep.
K, that's number two.
Hup for a second.
Hup, good.
Good.
Now this ganglion cyst over here, okay,
as we mentioned before...
You have a posterior distal radius,
so in other words, this bone over here, it went this way.
So what we're gonna do is we're gonna set it over here.
Keep in mind, it's not going to go away like that.
- No, okay.
- K, right, it needs some time for this to drain
and also the nerve to calm down
and the nerve inflammation, the swelling,
to calm down as well.
- 'cause they seem hard.
So, relax this over here, just relax.
Just relax.
We're just going to pump this up first.
Now, bare in mind, I am not touching
the ganglion cyst at all, we're just contact
right over here, we're just pumping it down here.
Okay, I'm just going to open it up, set.
Here it goes.
K, what's different?
- It's more...
This more.
- More what?
- My hands.
- What do you mean flexibility?
- Yeah, it is more flexing.
The other one not too much, this, so you know,
sticking over here.
- K.
- These two were not too much moving.
It is now, it's good.
- So that's what you're saying, so as was before
you did not have too much movement.
- Yeah.
- Now you have more movement.
- Yes, more movement, yeah.
- Okay, good.
- Yes.
- Ready for the next?
- Alright.
- Okay, so for the next component
what we're gonna do is, we're gonna help you
with this common peroneal nerve entrapment
you've got going on, and the reason why
is because this fibula, the fibular head,
the proximal fibular head, it went posterior,
when it should be little more alignment here.
So because this bone over here ended up backwards,
that's the reason why you've got the significant swelling
right there, and all that swelling,
because the common peroneal nerve is so superficial
that meaning it's so close to the surface,
all that swelling, what it did was,
it pretty much pushed it right against the edge, exactly,
and pinched a nerve.
That's why you have that complete obstruction
radiating all the way down to the foot right down there.
So, we're gonna realign that fella back in to place.
Just relax.
So, right now we're around the fibular head.
We're just gonna motion that fella, before we set.
Not too bad?
- No, it's a little bit.
- I understand, it's a little painful.
- Yeah.
- K.
So what we're doing right now is preparing the joint
to get all the swelling, as much a possible,
out of the way before we set this fella.
'Cause what we don't want to do
is further irritate the common peroneal nerve.
Okay.
- Yeah, it's...
Working good.
- What's different?
- Now it's having a different this.
- So what's that mean?
- There's no more.
- No more what?
- That problem here.
- Mm-hmm.
- Can move it more.
- Now you can move it a lot more?
- Yes, more, yeah.
This not too much movement, you saw it sticking like that.
- Mm-hmm.
- It's no more.
- Now you have full range of motion?
- Yeah.
- How's the foot now?
- The foot's a little bit, so you fixed that one,
release here, this part.
- Okay.
So, what's different on the foot?
Before and after the adjustment.
- Oh yeah, it's a lot different, this one
more move, you see, that one.
- Good.
- Its move.
There.
- How do you like that?
- Its move.
- It's amazing isn't it?
- Yeah, it's good.
- So that's what we're talking about.
So we corrected the fibula over here,
restored the common peroneal nerve,
and that's why that foot getting a lot better, right.
- Yeah.