Hi, my name is troy giles. i am a of chiropractic and a natural internist. today I wanted to tell you about something that is immensely dear to my heart, which is helping kids, specifically with scoliosis, with knee pain, with ankle pain, with foot pain. This is one of my good little patients. Her name is Mady. Say Hi to the world Mady. Hi. Was it last week? Last week they brought Mady in and I have been seeing her for quite a while, but haven’t paid attention.ten years.since she was born.but I haven’t paid attention.
To her feet. over the last month or so she has developed a lot of foot pain and a lot of knee pain, so much so that she went to give a little talk in church the other day and wasn’t able to stand and do the talk because of the pain in her feet. So I said well, let’s take a look at her feet. Well there is pronating significantly, which I am going to show you in a minute what pronation does to the knees as well. Mady, let’s have you stand up here. When you are looking for pronation, you will notice that her ankles are dropping.
Inward. you can see the whole ankle bone is coming this way. this one is significantly moved this way, and as I touch the ankle itself, if I push right here, there is a hole, but there is no hole here. Because the talus, this bone right here.I am going to shut the door so the music doesn’t play. So you can see right here that there is a hole, but there is no hole here. So what I want to do is I want to set her foot and create an arch, using an orthotic, which I just finished creating. That’s going to help put the ankle back into.
Position like this, that neutral. now, show this picture here. if you notice, if i put my two fingers right here, I start to hit, I hit my fingers right there. We call this coccyxvalgum, or knockknee. So you can see how the leg is coming in this way and then it comes out this way. So both of the knees are doing this, like my joints here, my thumbs, they’re touching. But by working on the ankle right here, it is going to take and straighten the knee. So watch this. This is neutral. That’s how she normally is. Now if you look,.
See how much the ankles are dropping inward? that’s very big. fingers come to about right here. Now, Mady, I am going to put you into this position right there. Hold it and that position there and hold it. See I can come clear past her knee now. Actually, let’s go back. Here I can come right here with one finger. Now if I put them into neutral, I am coming clear up and I can almost come through that area here as well. So you can see that the knees are shifting, instead of being knockkneed, they are coming out and being neutral. So.
This is a very, very big thing. so these are the orthotics that we just created. they are very thin. They fit in any shoe. I created it so that, and how we fix these, we have them heated up to 200 degrees, and this is the trick, is that when she is actually stepping down on a piece of foam in the other room, I put my finger underneath the foam and then I dorsiflex or raise the big toe up. Now watch this. Mady, just stand down normal. Now watch when I raise the big toe, watch the ankle. Did you see it come in to neutral? It actually.
Shifted this way. by dorsiflexing or flexing up the toe. so that is the position. this is what we call subtalar neutral. This talus right here has to be in a neutral position where it is right in the center. If I Iet it go, when she comes back to the normal, this shifts and goes this way. So the orthotic goes in the shoe and supports the arch into a neutral position. So I am going to do some more raising as we go, but for right now this is as much correction as I want. Now bunions grow as well. Bunions can grow just by, as.
You’re walking. if you are pronating and the ankle is dropping over, as you go to go into your toeoff position, if this is pronating over, all of the pressure from her whole bodies weight comes over and across this big toe. So ultimately, her big toe is going to deviate to the outside. So by putting the orthotic in and holding that into a better neutral position, when she is walking in her shoes, this now can raise easily and she is able to walk through without causing all the pressure in that joint. So these are orthotics that.
Knee Pain With Exercise SURPRISING CAUSE and HOW TO FIX IT
What’s up, guys? jeff cavaliere, athleanx . Let’s talk today about knee pain. If you’ve been lifting for any length of time, likely you’ve had some sort of knee pain or might have knee pain in the future if you’re not doing the right things. Guys, knee pain can debilitate your leg workouts. I know. I’ve suffered from it, and I know what it can do to your legs when you’re trying to squat and especially squat heavy.
So, what i want to do today is first of all cover a couple of the reasons what might be causing your knee pain because that’s going to be important to understand the difference, and then show you one that I think is really common especially for guys that train and lift weights. So, if we look here, we’ve got our boy Raymond, and we’ve got our skeleton, so what you’ll see is that in the knee we’ve got a lot of different sources of pain.
Now you guys have probably heard about acl pain and mcl pain and lcl, right. well we’re talking about tears really because those are ligaments that get injured sports most often. The ACL and PCL are inside the knee. The LCL and MCL are going to be on the inside and outside of the knee, and basically, that’s just one source of injury but we’ve also got osteoarthritic changes that can happen.
Where you actually get degenerative changes on the bone, the bone on bone area, or on the underside of the patella here that grinds up against the femur. We could talk about that in a second. We also have meniscus issues. Guys talk about that. It’s the cushion between the two bones here, the tibia and the femur, that gives us that space between the joint that can wear down or tear. But I find that the most common injury that we get when we train,.
Our inflammatory conditions from overuse of the patellar tendon. so, the patellar tendon, this is what you’re seeing right here,ok. And what it does is, it runs over the patella, here it holds it in place, and you can get inflammation of this a lot of times causing patellofemoral issues, we’ve heard that before, and it impacts the tracking of the patella when your knee goes into flexion extension.
So, as we flex the knee and extend the knee, you want normal mechanics of the patella so you get this glide. And it glides right in this groove right here. You can see that it’s supposed to glide right in this groove. But what will happen is, it starts to get out of position. Well, guess what? This isn’t a knee issue. I’ve talked about this before, this is not a knee issue.
The knee is a train, and this is its track. here, and here. so guess what happens when the track gets twisted? The knee in the train goes flying off the track. So, when you start looking and focusing all your efforts on the knee pain and trying to, you know, cure the patellofemoral issues, or try to cure your patellar tendonitis, and you’re not paying any attention to the track, you’re way off track.
So, what you want to do is, you want to start looking for the source and the cause of your knee pain because most often, 99 percent of the time, the source of that is going to be somewhere else. And when we look at this, it’s either going to be the track at the bottom, which is going to be controlled by your ankle and foot, or, the track at the top which is going to be caused by, or controlled by the muscles.