- How you doing guys.
So we've got a patient over here.
Originally she came in here for her left foot pain
right in the middle of her arch, okay?
And during the consultation we found out
that she also is complaining about
chronic fatigue syndrome, where she feels like
she has to take a nap somewhere between,
roughly around three to four pm,
and throughout the whole entire day itself
she's constantly tired.
In addition to, she also has constipation
where she goes to the toilet
only once out of every three days.
So we're gonna take a look,
see what her problems are, and take it from there.
So, the first thing that we're gonna do is
we're gonna start off with instrumentation.
Next step is we're gonna do the static palpation
and we're looking for presence of any
swelling, edema, or muscle spasms in the area.
So trace them down, we already find some right over here.
Another one right at this level.
And we can see right over here
there's quite a bit of swelling
right at this region here as such.
So we keep tracing down.
And I see over here there's also
some muscle spasms over here,
swelling right in this spot over here.
And this is where we're gonna take a closer look at.
So next step is we're gonna do motion palpation.
And first we're gonna check her foundation.
So move your hips forward and backwards on the left side.
It is stuck going forward on the left.
Her right moves back and forth without a problem.
Sacrum, moves on the left, moves on the right.
So we identified being a little stuck over here,
and a little tender there, right?
Okay.
Now I'm gonna check the next one up,
okay, this is the fifth lumbar,
pain over here?
Okay.
So really identifying, including the swelling right here,
this fifth lumbar is a candidate.
Tender right there?
Tender right here?
Yes?
Or this one?
Not too bad?
This is more, correct?
Five, four, three,
12, 11, 10.
Right there, 10.
That's at 10.
That's the one with your adrenals.
In this X-ray structural analysis,
we identified several structure abnormalities
that needed to be corrected.
The fifth lumbar, tenth dorsal, seventh dorsal,
second dorsal, and the sixth cervical.
Now, although we identify these structures,
it doesn't mean we're gonna correct all of them
on the same visit, because we have to approach this
in a very conservative manner,
we're only gonna be correcting just the first two today,
the fifth lumbar, and the tenth dorsal, to provide
structural support and stability to the rest of the spine.
Let's just go, right here, there you go, now.
Okay.
Now.
Good.
What's it feel like right now,
like you just drank some coffee,
more energy?
- [Patient] Yes.
- Right?
So that's what I'm saying.
We just stimulated a nerve, your adrenal gland.
So now we're getting it working again.
So you should feel like, oh, a little pick me up.
- [Patient] You know, I was always just feeling so tired.
But now it's,
- Now you were feeling,
you were very weak right?
That's what I'm saying, that's the correct nerve for you,
the nerve go to the adrenal glands, waking up again.
In this foot structural analysis,
the patient's foot is on the left side.
I put up another film on the right side
for comparative analysis.
So ideally, I want to see the foot in a nice straight line.
However, with the patient's foot,
we see two bony protuberances
coming from the talus and the navicular.
In addition to, we'll see evidence
of structural damage over here, meaning
degenerative joint disease or osteoarthritis.
In addition to this talus, what it did was
it tilted backwards as such
so therefore it went anterior, superior,
and this navicular over here,
it went posterior, inferiorwards,
meaning it tilted downwards.
In addition to, the first cuneiform
and the second cuneiform, we also see
evidence of structural misalignment
it also went slightly inferior as such.
Therefore, these four structures
we need to rebuild on this foot
is the talus, the navicular, first cuneiform,
and second cuneiform.
So okay guys, so as we see over here, okay
there's a lot of scar tissue over here.
So what the patient tells me is that
she got operated on here
because due to a car accident more than 10 years ago.
Her English is not that great,
and the translation we could get is,
basically, it sounds like it was dislocated
and the medical doctors, the surgeons,
they operated, put it back in place,
put the screws in place, and after it healed up,
they removed the screws out.
Now from what I see on the X-rays,
that we're gonna go over that,
basically what happened was this.
This bone right over here, the navicular,
it swiveled downwards as such
and this, first and second cuneiform on her,
also swiveled downwards as such as well.
So what we're gonna do is
we're gonna take a look, see what's going on
on her, this foot itself, and determine
what have we got, okay?
So, first things first, let's check your talus.
Okay.
This is tender over here, right?
Yeah.
Check the tibia.
Check the fibula.
Okay, so they're intact.
Okay.
So the talus right now, okay,
it's not moving this direction.
It's not moving on the outside.
Now I can move it on the inside,
I just can't move it on the outside.
So that already tells me
you got something going on over there right now, okay?
Now this is your navicular, right over here.
Now I can move it somewhat upwards,
it's a lot harder to do so,
but downwards very easy.
But upwards, very very stuck.
And we compare it to over here,
you feel this difference over here?
- [Patient] Yes.
- I can move it upwards, without a problem.
Over here, very very stuck.
Now we're gonna move over
see that's your first cuneiform, second cuneiform.
So this is stuck, this is stuck.
To over here, okay, I can move it upwards
without a problem.
So your cuneiforms, number one and two,
okay, first and second one, over here,
perfectly fine.
Whereas this one is stuck, alright?
So the main deal is, first thing
what we're gonna do is this,
we're gonna correct your talus, okay,
and then we're gonna try to correct your navicular over here
even though there's quite a bit of degeneration over here,
we're gonna do our best to correct that.
Put it back into proper alignment.
And that'll help resolve this foot pain
you're complaining about.
Oh, by the way, the patient was complaining
about foot pain right here, not here.
So she was under the mistaken impression
it was plantar fascitis, this is not.
This is due strictly to the trauma
she experienced over here,
and the navicular itself is very symptomatic.
So we have to address the talus,
and if possible, the navicular, if it's ready.
Wow, that was stuck.
Good.
So, how's the feet?
- [Patient] It's good, it's amazing.
Nothing now.
Just feel better.
- [Doctor] It's amazing, isn't it?
- [Patient] Yes.
Oh, yeah.
So much better now.
- [Doctor] Okay, so I want to clarify and emphasize, okay,
because there's a lot of degeneration
and structural problems with that foot,
it's gonna take a while to try to rebuild that foot, okay?
Okay, so fill us in since the last visit,
how's your overall energy?
- [Patient] It's better than before.
Now it's no feel so sleepy now.
- Okay, good.
Okay.
So how's the bowel movements now?
- [Patient] Every day I have to go to the toilet.
- So you go to the toilet
every single day now?
- [Patient] Yeah, no.
Every day.
- Every day!
- [Patient] (laughs) Yes.
- Is that a great thing?
- [Patient] That's great.
- Okay!
Alright, thank you.
(laughter)
Let it go.
Okay.
- [Patient] Yes, better.
- [Doctor] A lot better, right?
- [Patient] A lot better.
A lot better.
So free now.
No.
- [Doctor] Okay, that's the most hardest adjustment
I ever did in my life.
Oh, wow, hey!
I am impressed, I am amazed,
how much better this is moving now.
Okay, walk on it.
- [Patient] I can walk almost fast as I can before.
- [Doctor] Much faster now, right?
- [Patient] (laughs) Yes.
- [Doctor] How do you like that?
- [Patient] Whoo, it's good.
Thank you.
- [Doctor] Oh, you're very welcome.
- [Patient] Thank you, thank you, thank you so much.
- [Doctor] Feel like a million bucks now, right?
- [Patient] Yes!
(laughter)
- [Doctor] Okay, we're all set.
- [Patient] Thank you!