- So how you doing guys so fill us in, what brings you in?
- I sprained my ankle last year,
so it's been a year
almost and a month or so.
Nothing has helped, there was no fracture.
But tried PT, tried all kinds of things,
pain medication, nothing has helped.
And I decided to come see you because you helped my mom.
- Okay, thank you.
And during the consultation earlier we also
discovered that you've been having some,
a lot of energy issues, been feeling very
fatigued during the day?
- Yeah, feeling sluggish, feeling sluggish where
it's hard to pick up and just keep going.
I'm a mom to a two-year-old and I can barely
keep up with her,
which is not me.
I'm a very, generally a high energy, high intensity person.
- Um-hmm.
- And also have had chronic digestion, constipation issues.
Nothing that ever needed medical intervention but that
I just thought oh this is how my system is.
But I now realize that it's not normal to have constipation
issues and digestion issues and low energy,
fatigue constantly, so yeah.
- So we're gonna start off with instrumentation
and we're looking for a temperature difference.
So the next thing we're gonna do start of our patient
and also disc location
We're gonna check for is there any presence of any swelling,
edema, muscle spasms.
So right off the bat, I see a significant amount
of swelling right in this region right over here.
And also quite a bit of swelling around this region
over here.
So we're gonna take a look and see what's going on.
Okay.
So right now the muscles are tight
on the right side compared to your left side.
You feel that difference there?
Okay, let's see what else is going on here.
So again over here, muscles tight on the right side
versus your left. - Yeah.
- Nothing else is going on.
Now we are gonna start off with muscle palpation?
And we're gonna check what's fixated and not fixated.
So normal it should move, abnormal it's gonna be stuck.
First things first, we're gonna check how's your foundation.
Feel how much difference it moves?
- Yeah.
- The right side moves, the left side is stuck.
It's a brick wall.
Now let's check the left hip, moves forward and backwards
without a problem.
Somewhat stuck forward but not too bad.
Forward, backwards without a problem on the right hip.
Left hip, slightly stuck forward, no problem going
backwards, but this sacrum no doubt about it,
is stuck on the left side.
Okay.
Now we're gonna check, you feel how stuck this is?
- Yeah. - Okay?
There's no movement here whatsoever.
Everything's very rigid.
- Yeah.
It's bit hurt up here.
- Um-hmm.
So everything in here is moving whereas
here is very rigid.
So the reason why it's rigid is because this foundation
over here is misaligned.
So because its shifted out of alignment, it's causing a lot,
you basically lost a lot of the biomechanical springiness
over here.
In this x-ray instructional analysis, as we can see
her foundation, the sacrum right over here.
Angle is right over here, normal it should be here.
That's the reason why you see the significant deviation
in her entire spine.
In addition too, we also identified other structural
abnormalities at the first lumbar, sixth dorsal
and seventh cervical.
Now at this very first visit we're gonna take a conservative
approach, rebuild her foundation in the first lumbar
and the other twos we'll keep an eye on them
on future visits.
(patient moans)
Hold it right there.
Just breathe.
I know it's intense.
Just breathe.
Okay, you feel how springy this is now?
- Um-hmm.
- Okay, much more springy.
- And it doesn't feel tender, like last time you did it
I couldn't, I was like ungh.
I don't feel that now.
- Good.
In this foot structural x-ray analysis, normal I wanna see
all of these structures in proper alignment.
However, because of this bony protuberance from the talus,
this is the keystone for the arch, what I see is this:
The talus should be here, instead it tilted interior and
superior, therefore, this is the one we need
to correct on her.
So first we're gonna check your talus, okay.
Feel the difference already, I could swivel your talus
to the outside, inside.
- [Patient] Um-hmm, yeah and I feel it crack when you do it.
- And see on the left side, I could easily go on the inside.
I could easily swivel it, both directions without a problem.
Whereas over here, inside, I'm sorry, outside...
- [Patient] Yeah, it's stuck.
- Yeah, right there it's stuck, it doesn't move.
So already what we can tell, this structure right over here,
on her when we try to test it and move it,
we can easily swivel this way.
We just can't swivel it down this way.
So this one on her is misaligned by going this way
and also unable to swivel that way.
So that's the one we need to correct on her.
Nifty huh?
So let's see what else is going on.
So we're gonna check right now.
(mumbles)
Tibia. Tibia.
No problem.
Calcaneus moves fine.
Did you sprain this one too?
- [Patient] No.
- This one feels like it's sprained long time ago.
- [Patient] Okay.
It's possible, I mean,
I used to skate when I was younger and
lots of falls and such.
- Right now everything is moving fine.
So the only thing we need to fix right over here
is just the talus.
- [Patient] Physical therapy for ligament and all of that is
secondary, you need to first fix the structural issue?
- Right, the structure itself.
- [Patient] That's why physical therapy
hasn't really helped enough?
- Well, there's a limitation to physical therapy.
It makes a lot more sense, first correct the structure.
Put it in proper alignment, then do physical therapy.
- [Patient] Okay.
Yeah, that makes sense.
- Because there's only so much you can strengthen.
Because the ligaments itself, it's not a conscious ligament.
In other words, we don't say to ourselves,
"Hey guys, (groans), clench!" - Yeah.
- It's completely subconscious.
So as much as you could do with physical therapy,
there's a limitation.
So if there is a significant misalignment, and that's what
we see on the structural x-ray itself,
you can do all the physical therapy in the world,
it's gonna have very limited effect on this foot.
- [Patient] Okay.
- I'm not saying it's not gonna have no effect,
no it has some effect.
It's just not effective enough.
- [Patient] Okay.
- In this particular case.
- [Patient] Right, okay.
Gotcha.
- So let's go, first things first, we're gonna pump it up.
Anterior Superior Medial Talus.
That's it.
Walk around.
You felt that tiny little click in there?
- Yeah, yeah.
Oh my goodness.
Remember how I said it feels like a nut or a bolt is missing
and that the foot is clunky?
- Um-hmm. - It doesn't feel like that.
Wow, I haven't felt this in a year.
- Is that something-- - Is that real?
And it doesn't hurt here anymore.
You remember I said this is where it used to hurt?
And this part?
It doesn't hurt anymore, it was numb
when I came here today for the appointment.
Is this for real? (laughs)
- It's real!
You're not dreaming it. (laughs)
You're wide awake for this one.
- Oh my goodness.
- [Doctor] See, specific correction makes all the difference
in the world.
- Yeah.
I can tell there is some swollenness here still
- It's gonna take time. - It's not painful.
It's not, yeah it doesn't feel like
I have to walk like gingerly
just because it feels off.
I'm not, I'm just walking.
This is cool.
Thank you.
- Oh, you're welcome.
So this thing, I'm gonna let you know, it's gonna hold
for a couple of days,
it's gonna swell up again,
because you're body says "Oh wait a second,
"this is finally proper alignment,
"now what the heck is going on over here?"
- Um-hmm.
- So this is defensive mechanism, it's trying to protect it.
It's an airbag that is inflated up
to try to stabilize that thing.
So magnesium sulfate will help reduce the swelling,
help repair the ligaments.
'Cause the ligaments are swollen, they're slightly damaged.
Meaning they're really stretched to their limit.
- Right.
- And they're trying to relax it but it has trouble doing so
because this keystone was significantly
rotated and misaligned.
- Um-hmm.
- So that's why you're feeling
what you're feeling right now.
So all we do is just gently put it back in place
and now it's gonna...
If you still remember your physical therapy exercises?
- Yeah.
Now I can do it?
Okay.
- Now, not now, you'll start doing it,
I say in about two weeks from now.
- Okay.
- You'll start doing that.
Then it's gonna feel stronger and stronger and stronger.
- Alright.
- Awesome. - Okay?