- Okay, so seven years ago,
I get back surgery.
I have a problem with a herniate disc.
And then I have pain in my...
I don't know how to say this, but I have a pain here.
And now I have pain my back.
- Alright, guys, so as we see over here.
What the patient was explaining before,
the patient had a disc hernia issue
and also had disc hernia surgery.
So we see the scars over here
from laparoscopic incisions over here
operated on this from over here.
And the patient ever since the surgery from seven years ago,
ever since then on, been having a lot of pain
in both achilles in both ankles,
lot of pain over there.
And eventually recently started developing a lot of pain
in this region over here as well.
So let's go ahead.
Let's take a look; see what's going on.
First we're gonna do instrumentation.
We're gonna take a look.
See if there is any potential heat differences on the spine.
Now normal, I don't want to see any reading whatsoever.
Abnormal, we start to see a pattern break.
And there's a pattern break right at this level.
So this is one of our objective indicators.
There's another one right here, as well,
two spots pretty close together.
So this is one of our objective indicators
what we're looking for that confirms the presence
of the structure abnormality.
Now another tidbit is,
what the patient's also explaining about,
since the patient originally had a lot
of sharp, low back pain from the disc herniation,
had the surgery, and yet still continues
to experience low back pain
and also more problems, such as ankle pains
from the achilles and the pain over here,
that term is called failed low back surgery syndrome,
or failed surgery back syndrome.
Now because this one's more chronic,
we do have to alter the angulation of the instrumentation,
because since it's been there for quite some time,
there's quite a bit of nerve interference
at this particular level.
What we also see on this side over here...
We also start to see differences in muscles.
This one over here's a little kind of loose,
here's kind of tight; this side over here's a little tight.
This side here's also tight, as well.
There's a protective mechanism
trying to protect this region over here.
Now that the roles of visualizing and seeing is that
there's quit a bit of swelling in this region over here.
You wanna see it nice and smooth,
however quite a bit of fluid accumulating here
and also here.
And yet, it's puffed all around this region over here.
To the point, once again,
it starts to accumulate down here, as well,
quite a bit of fluid.
And this one here is most.
So just gonna check what's going on up here, as well.
See, there's quite a bit of fluid right there,
right between spinous processes over here
and here as well.
It's not too bad here,
some fluid but not too bad.
Okay, relax.
Next thing I'm gonna do is check your neck, as well.
Head down.
Okay, your neck is clear.
No instrumentation reading in the neck.
Right now, we're checking for any abnormal movement
in the neck.
Just gonna check for any abnormal movement
in the pelvic foundation.
The hips move right to left.
Also check for the sacrum, moving just fine.
The left hip also moving just fine, as well.
So now...
We check for his fifth lumbar,
right over here, and we push forward.
Tender right there?
- Mhmm.
- Also there's not much movement in there as well.
Cuz it's very chronic and very problematic.
So let's also see what else is going on
in every structure above.
Everything seems to be moving.
Tender right there, huh?
- Mhmm.
- A lot of pain?
- Yeah.
- Not too bad there.
A little pain there, too, huh?
- Yeah.
- Okay, not too bad.
We're gonna mark that.
Keep an eye on it.
Let's double check that fifth lumbar.
See which way it moved.
You could easily turn to the left,
can't turn to the right to well.
It's stuck.
You have problems also tilting
towards the right
and to the left.
- [Chiropractor] Okay so that gives an idea
where the problem is.
In this X-ray structural analysis
this is the fifth lumbar disc that got operated
on seven years ago.
And the patient still continues to experience
a low back pain and also pain in his ankles
and in achilles.
So the result is this.
This structure over here,
and what happened is that it went a little bit backwards
more importantly it tilted in forward as well.
So this is the one we need to correct on him.
And in the mid back over here,
what we see is if you take a look at lines over here,
this structure over here is slightly backwards,
and addition to it this disc on the back,
is slightly swollen over here more the back.
This is one we need to correct on him, as well.
(cracking)
- Okay, come on up.
What do you feel?
- No more pain.
Little bit, but not too much like before.
- [Chiropractor] Okay, how's the ankles now?
- Good.
- [Chiropractor] Come again?
- Good.
- [Chiropractor] Good? - Yeah
- [Chiropractor] You don't feel pain down there anymore?
- No - How do you like that?
We didn't even touch or do anything
to your ankles yet, right?
(cracking)
- [Chiropractor] Move your neck around.
Tell me how's it feel right now?
- Much, much better now.
- [Chiropractor] Move your head to the left and right.
- Yeah, and back.
Before when I sit, I can still feel the pain.
So now I'm sit, and I feel good.
- [Chiropractor] Kay, nice!
- Thank you very much.
- [Chiropractor] You're welcome!
- First things first, we'll check both ankles.
See if there's any structural abnormalities with them.
This one's slightly stuck.
So we'll set this one.
Kay, Medial Talus
(cracking)
- [Chiropractor] So how do you feel
on your ankles right now?
- Very, very good.
I feel good.
No more pain, and I can walk around very good.
So before when I came, I can't stand up.
I had back pain so now I feel much, much better.
Thank you doctor very much.
- [Chiropractor] You're welcome!
Alright!