- Tell us again, what's goin' on with your health.
(speaking in a foreign language)
Okay, so, translator, please.
- So, what he has is that he has a pain in this part
of the foot and on the bottom of his feet.
- Okay.
All right, so, what about the low back?
(speaking in foreign language)
- Okay, when he's laying down,
at the moment that he stretches his feet,
the pain that he has in the bottom comes all the way up.
- Got it, okay.
In your particular problem, okay,
what we earlier identified as
this one right here is the problem.
This is the fifth lumbar.
Normal.
You, right now it's slightly this way and this way.
Okay, that's what this is over here.
So that's exactly the one we need to correct on you.
That's your low back.
This is what normal's supposed to look like.
I want to see it nice and straight.
This is not straight, see.
This is like a hump over here, like a hill.
This bone over here, okay, what happened was,
from here, tilted up this way.
So, this misaligned.
This is your problem.
And I also see your,
from here as well, okay, it tilted.
Normally, I want to see it nice and straight,
but it titled up this way, okay.
So on this side, we need to correct.
Right there.
Next up, what we're gonna do a static palpation.
And because this is chronic over here as we see over here,
there's quite a bit of swelling over here
in this region over here.
And that is pronounced.
Pain over here?
Okay, (speaking in foreign language).
(speaking foreign language)
Right there, huh?
Feel the difference over here?
I can move you to the right.
Okay, moving to the too well.
Feel that difference?
Right.
Left.
Come up.
Walk around.
- Yeah.
- How's it feel?
How's it feel?
(speaking in foreign language)
- [Woman] He feels good.
(speaking in foreign language)
- Okay, so the deal is what we've got over here,
there is a lot of inflammation on his left foot over here.
And we can also see on this site here as well.
Everything's all inflamed.
Part of the reason why this is so inflamed is
because this patient was using a lot of heat
to try to address the swelling.
But however, the rule of thumb actually is not heat,
but you gotta use ice or a cold pack
to get the swelling down.
So now we're gonna take a look.
We're gonna confirm what we found on the x-ray itself.
Yep, the talus is not moving whatsoever
on that left foot whatsoever.
Okay, because there's so much swelling over here,
we have to do a lot of pumping
to try to get the swelling out of the way.
And we already confirmed it,
just like as we found on the x-ray itself.
His misalignment is anterior-superior and lateral talus.
This is what we need to correct on.
Nope, mm-mm.
We need to come back on the next visit.
Cannot fix this today.
(speaking in foreign language)
Because there's so much, you put so much heat here,
it made it so much worse.
So, so much swelling, cannot move the bone.
(speaking in foreign language)
Okay, so here's the deal.
Because there's so much significant swelling here,
there's no way we can make the correction today.
So this is what we're gonna do for you.
When you go home, get a bucket.
Fill it up with ice water.
- Ice, yeah.
- Soak it in 20 minutes.
Do it at every two hours. - Yeah.
- Gotta get the swelling down.
And then in two days, come back.
We're gonna take another look at it
and see if it's ready to be corrected, okay?
- Yeah, okay.
- All right.
This is better.
Now, we got something.
So a lot of the swelling calmed down.
Ooh, God, we got a part of it.
Hold up, just relax.
We got half of it.
Walk around.
(speaking foreign language)
- [Woman] It still hurts.
- [Doctor] What's different?
(speaking in foreign language)
- [Woman] The pain is less.
- [Doctor] How much less?
(speaks in foreign language)
- [Woman] Like a 40%.
- Okay, good.
That's a way, that's a good way.
We'll start from there.
'Cause again, it's still very swollen in there.
We look at half correction today.
How's the foot?
(speaking in foreign language)
- [Woman] So it still hurts but the pain is less
than it used to be before.
- Gotta do this first.
There we go.
Walk around.
(speaking in foreign language)
It's a lot better now, right?
(speaks in foreign language)
Good.