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10 Step Cure for Ankle Sprain & or Fibula Fracture. Exercises & Rehab
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate a 10 step program to rehab an ankle sprain and or fibula fracture. Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA
Просмотров: 52721 Physical Therapy Video
Amazing Chiropractor In India Fixing Ankle Sprains : Traditional Bone-Settler In Indian Village
 
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संपर्क राकेश पहलवान , अजमेर, राजस्थान - 9414252695 # contact Rakesh pehalwan, ajmer -9414252695 , Rajasthan , निम्नलिखित बिमारियों का इलाज़ न्यूरोथेरेपी ट्रीटमेंट द्वारा - Back Pain, Knee Pain, Neck Pain, Cervical, Depression, Insomnia, Acidity, Gas, Calf Muscles Pain,एवं सर दर्द में तुरंत राहत के लिए | सेंटर पर अन्य सफल ट्रीटमेंट हें Constipation, Asthma, Arthritis, Slip Disc, Spondylitis, Skin Problems, Cold and Cough, Colitis, Dandruff, Diabetes, Epilepsy, Cancer, Mensuration Disorder, Paralysis, Piles, Sciatica, Seizures, Sinuosity, Varicose Veins. ================================================= Amazing Traditional bone setting method (Chiropractic ) is quite popular in India. Traditional bone setters (TBS) are one of the largest specialist groups practicing traditional medicine in Rajasthan, India. These are the indigenous specialists who have never been to any medical college but are able to treat and cure many orthopedic problems effectively. Many people in Rajasthan still find 'pehalwan ' an inexpensive and effective alternative to heal broken bones.These professionals are called as ‘Pehalwan ’ in local parlance and these healers have inherited such method of treatment from their forefathers. The technique neither uses X-Rays nor painkillers. ये वैध चोट-मोच फ्रैक्चर का देशी जडी-बूटी से इलाज़ करते हैं | Moreover he cured sciatic nerve pain of my wife.He uses twisting bone technique, heating, herbal techniques to relief patients from back pain and other nerves related problems . Amazing India: Ancient Indian Orthopedics Still Survives! | Art of Living ( hueseros )Traditional Bone-Settler In Indian Village Of Rajasthan : Chiropractor In India : Health & Treatment
Просмотров: 2068650 SANJEEV KUMAR GUPTA
Big Toe Pain - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes painful conditions of the big toe. Big toe pain is fairly common, since the feet are constantly exposed to stress, overuse and injury from waling and running such as with sports activity. Arthritis When the big toes has limited movement, it is often associated with arthritis of the big toe. Degenerative arthritis of the big toe is painful stiffness and swelling of the first metatarsophalangeal joint. The patient may need fusion of the joint. Hallux Rigidus Arthritis of the big toe joint may be present with large dorsal bone spurs. This is referred to as hallux rigidus. The condition restricts dorsiflexion of the big toe with swelling. There will be some cartilage remaining within the joint space and there will be bone spurring around the joint. The condition is treated by dorsal cheilectomy. Remove 25% of the dorsal aspect of the tarsal head including the dorsal osteophytes. The procedure is contraindicated if the pain is located in the mid-range of joint motion (advanced arthritis need fusion). Hallux Valgus (Bunion Deformity) The condition is more common in women than in men. Once a bunion gets to be painful and shoe wear is uncomfortable, surgery may be needed. Gout The first metatarsal joint is the most common joint in the body to be affected by gout. Recurrent pain in the big toe occur from gout. Gout is caused by the build up of uric acid that looks like needles and the deposit of uric acid crystals inside the joint are negative. Gout may resemble infection. Sometimes there is white tophus or cloudy aspiration. Aspiration and analysis of the joint fluid is the best method for diagnosis. Xrays will show punched out periarticular lesions. Most people with high levels of uric acid do not have a gouty attack. Turf toe Turf toe is the common term used to describe an injury to the plantar plate and sesamoid complex of the MTP of the big toe. It is an injury to the joint at the base of the big toe caused by hyperextension of the big toe. Occurs in contact sports. The injury is seen more from playing on artificial turf since it is harder surface than grass with little “give” when force is placed on it. Xray may show fracture or displacement of the sesamoid. MRI may show disruption of the volar plate. Sesamoiditis There are two sesamoid bones, one tibular and one fibular. The sesamoiditis bones act like pulleys for the flexor tendons and are embedded into the tendons of the flexor hallucis brevis muscle. Sesamoiditis is generalized big toe pain at the bottom of the big toe. Sesamoids are important to the big toe region by absorbing weight-bearing pressure and reducing friction on the metatarsal head and they protect the flexor hallucis longus tendon as it glides between the two sesamoid bones. Any chronic sesamoid condition that is unresponsive to conservative treatment may require surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Просмотров: 208010 nabil ebraheim
Knee pain ,arthritis and Injured Cartilage  - Everything You Need To Know - Dr. Nabil Ebraheim, M.D.
 
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Dr. Ebraheim’s educational animated video describing knee arthritis and knee pain . Causes of knee pain may be related to: •Sports •Trauma •Inflammation or arthritis •Osteoarthritis Cartilage is a tough and flexible connective tissue that gives shape, support and provides a cushion between bones in the joints. Unlike other connective tissue, cartilages do not have its own blood supply, instead, it is composed primarily of water, chondrocytes, collagen, and proteoglycans, which produce and maintain a structural matrix giving cartilage tissue its form and function. Proteoglycans are composed of numerous glycosaminoglycans attached to a core protein. The predominant glycosaminoglycans in cartilage are chondroitin sulfate and keratin sulfate. Within the cartilage matrix, there are numerous prototype and monomers attached by link protein to a molecule of hyaluronic acid. This is all woven with collagen to form an elastic and compressible structure. Normal articular cartilage also known as hyaline cartilage provides a smooth crystal clear gliding surface to aid in the motion of the joint. The structure of hyaline cartilage is divided into four layers; superficial, middle, deep and calcified layer with the calcified layer representing a transition from articular cartilage to bone. This cartilage is designed to achieve and maintain proper function over the majority of a person’s life. If the cartilage is subjected to excessive weight, overuse, improper alignment or injury, it begins to wear away leaving bone to rub on bone. Articular cartilage does not have the ability to heal itself, however, there are several treatment options available to aid in the repair of injured cartilage. The knee is the most common joint in the body with cartilage injury issues. The knee joint is composed of femur, tibia, and patella. There are two types of cartilage in the knee joint, the articular cartilage and the meniscus, which is a shock absorbing cartilage. There are also important ligaments within the knee joint, the anterior and the posterior cruciate ligaments. The goal of treating cartilage injury is to reduce pain and improve the function of the affected area. Anti-inflammatory medications are commonly used to combat-injured cartilage but they can potentially cause cardiovascular or gastrointestinal toxicity. Damaged cartilage can also be treated with a series of injections. Steroid injections such as cortisone are powerful anti-inflammatory drugs used in the treatment of osteoarthritis. Hyaluronic acid is a substance produced naturally in the body and is present within cartilage when isolated. Hyaluronic acid is a thick viscous solution that can be added to the natural hyaluronic acid of the knee joint. This solution uses purified Hyaluronic acid derived from either rooster combs or genetically engineered cells. Glucosamine is another option for treatment that can be injected directly into the joint. Glucosamine is a modified sugar that is formed by the human body and is used to form larger molecules involved in the formation and repair of cartilage. Other methods include gene therapy, platelet-rich plasma, growth factors, stem cells, drilling and debridement of cartilage may help with injured cartilage. Occasionally the cartilage is replaced, regrowth and implanted. When the cartilage is damaged, the choice is often simple as the patient will need a total knee replacement. Many different types of designs and materials are currently used in total knee replacement surgery. Nearly all consists of three components, a patellar component, which consists of durable plastic, a tibial component, made of a durable plastic cushion often held within a metal platform and the femoral component, which is usually made of highly polished metal. Total knee replacement is the most predictable option to treat severe arthritis of the knee joint. When the arthritis is minimal, almost all treatment methods will work, however, when the extent of arthritis is moderate, there are many different treatment options presented, but none of them are predictable. It is logical to pursue and recognize the efficacy of platelets and stem cells in cartilage regeneration, simply because it is better for the patient to be able to regenerate their own cartilages and for it to be replaced with an artificial joint.
Просмотров: 1428043 nabil ebraheim
Ankle Fractures , Special Situations - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures special situations, describing fractures of the ankle X – rays and ankle fracture classification, ankle fracture dislocation . It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery Ankle fractures and driving: Normal base line breaking time is about 9 weeks after surgery. For total hip is about 6 weeks. For long bone and periarticular fractures of the lower extremity, the breaking time is significantly reduced up to 6 weeks after initiation of weight bearing. Diabetes: in patients with diabetes, the first thing we have to check is if the patient have peripheral neuropathy, or Charcot- fracture. Diabetic patient has also high risk of infection, hardware failure, and delayed healing; the bone takes more time to heal. You have to do more percutaneous fixation, a lot of screws from the fibula to the tibia; it gives you more strength of the fixation because the screws are engaged into the tibia, so they are stronger than the small little screws in the fibula. Then delay weight bearing time and half more than the normal so usually you delay the weight bearing for about 3 months. Remember: surgery in displaced fracture in the ankle in diabetics is better than no surgery, but the complication rate is high. Ankle malunion: Usually the fibula is short and malreduced, and the syndesmosis is disrupted, usually you correct that by corrective osteotomy of the fibula to restore the fibular length, alignment, and rotation. You have to do anatomic reduction of the fibula and the Mortise, you have to do the plating of the fibula, and bone graft if needed, in addition to syndesmotic reconstruction. And you do ankle reconstruction to prevent arthritis by reducing the talus to the ankle mortise. Fibular fracture and unstable ankle mortise will allow the talar shift. 1mm shift of the talus will decrease the tibiotalar contact area by 42%. What are the fracture variants? - Maisonneuve fracture: it is a fracture of the proximal fibula with syndesmodic disruption, you can miss this fracture because you may think the patient has an ankle sprain, especially if the injury of the deltoid ligament is not apparent on the x-ray, you probably need to get long leg films to diagnose the fracture. So you need to fix the syndesmosis because in these patients the syndesmosis is disrupted, so you need to restore the fibular length and alignment before the insertion of the syndesmotic screws. Accurate reduction of the syndesmosis is needed. - Volkmann fracture: it is a fracture of the posterolateral aspect of the tibial attachment of the posterior inferior tibiofibular ligament. - Tillaux fracture: it is a salter type III fracture, it is a fracture of the tibial attachment of the anterior inferior tibiofibular ligament in the young. - Wagstaffe’s fracture: it is a fracture of the medial part of the fibula with that part being avulsed at the insertion of the anterior- inferior tibiofibular ligament. The anterior- inferior tibulofibular ligament remains intact. - Chaput’s Tubercle fracture: it is a fracture of the anterolateral part of the tibia in adults. It is similar to Tillaux fracture. Chaput’s tubercle fracture is different from Chaput’s fracture which is mid tarsal joint injury. So the ligament remains intact with: - Tillaux fracture - Wagstaffe’s fracture - Chaput’s Tubercle fracture The ligament is avulsed from the tibia in: - Tillaux fracture in the young - Chaput’s Tubercle fracture in adults The ligament is avulsed from the fibula in: - Wagstaffe’s fracture Bosworth fracture dislocation: rare fracture of the ankle, the fibula become trapped behind the tibia and become irreducible. The posterolateral ridge of the distal tibia will block reduction of the fibula. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 17333 nabil ebraheim
Knee Pain Caused By Fibular Head :: WODdoc :: Project365 :: Episode 474
 
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For more episodes and additional information about this post visit www.thewoddoc.com www.thewoddoc.com Subscribe Now.... New Episodes Daily Check WODdoc out on Facebook, Instagram, Twitter, & SnapChat: https://www.facebook.com/thewoddoc
Просмотров: 40983 WOD doc
Ankle Fractures & X Rays - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes about fractures of the ankle X - rays, ankle fracture classification,ankle fracture dislocation, it also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. The Mortise view is about 15° of internal rotation. The medial clear space should be 4-5 mm or less, and it should be equal to the superior clear space which is between the talus and the distal tibia on the mortise view. If the medial clear space appears widened before surgery, then there is a deltoid injury. If the medial clear space does not appear widened, then make sure that you do not have a supination- external rotation type 4 injury. You may need to do stress view x-rays before surgery in order to prove that the deltoid ligament is or is not injured. The tiblofibular clear space should be less than 6 mm on the mortise view and it is the distance between the medial border of the fibula and the tibial Incisura notch. If the tiblofibular clear space is widened and the ankle mortise is unstable, this allows the talus to shift because the syndesmosis is unstable. 1 mm of talar shift will give a 42% decrease in tibiotalar contact area. This will cause future, accelerated arthritis. The tiblofibular overlap is about 10 mm in the AP view and you measure that from the medial border of the fibula. In the mortise view, the tibiofibular overlap should be more than 1 mm. Talo-Crural Angle I don’t use this and find not much value in this measurement except on exam questions! The lateral malleolus is longer than the medial malleolus, if the fibula is short, I can rely on two other x-ray measures that can help me: 1- Shenton’s Line: The subcondylar bone of the tibia and fibula should form a continuous line around the talus, so if the fibula is short then the spike of the fibula will too proximal. - If the fibula is long then the spike of the fibula will too distal. - Always look for the broken line from the lateral part of the articular surface of the talus to the distal fibula. 2- Dime Test - Look for the sprung mortise. - Look for the spike of the fibula to proximal. - Look for the broken Shenton’s Line. - Look for the Dime Test. - Look for medial clear space widening. - Get a lateral x-ray to see if there is a posterior malleolus fracture. - See if there is any talar subluxation. - See if there is any other associated Injuries from the talus and the calcaneous. The most important thing you will see on the lateral view x-ray of the ankle is the type of fracture: is it a Pronation - External rotation or Supination - External rotation Injury. - you will see that from the direction of the fracture. or Is the fracture comminuted? So you can say this is Pronation - Abduction Injury. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
Просмотров: 19502 nabil ebraheim
Ankle  fracture / Fractures and its repair- Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing the anatomy the injury the diagnosis and treatment of ankle fracture. Surgical tactics and strategy. The goal of surgery is to reduce the talus in an anatomical position under the tibia. Once the fractures have been fixed then stress views can be used to rule out a syndesmotic injury. The most effective method utilized to rule out the presence of syndesmotic injury is the use of stress view examinations. Rule out syndesmotic injury using intraoperative stress views which is the most relieable method. Check medial clear space which is the distance between the lateral border of the medial malleolus and the medial border of the talus, measured at the level of the talar dome. Check tibiofibular clear space. Direct inspection of the syndesmosis: excessive movement of the fibula with the use of a bone hook is another diagnostic method for syndesmotic injury. Excessive movement is abnormal. How do you do the intraoperative stress views? •Place ankle into neutral position. •Apply external rotation stress. •Get mortise view radiograph. Syndesmotic injury fixation •Reduction •Screw fixation
Просмотров: 378356 nabil ebraheim
My Broken Ankle Recovery (Trimalleolar Fracture with Dislocation)
 
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My trimalleolar fracture with dislocation! I hope this video helps provide info about what you will go through! Thanks! Follow me @southernsummitco on instagram!
Просмотров: 9850 Southern Summit Co.
Signs your foot or ankle injury is serious
 
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If you suffer an injury to one of your feet or an ankle, how can you know if it is serious? How can you tell if it’s worth seeing your doctor or an orthopaedic surgeon? http://challenge.drdavidgeier.com/ds/906ca4c8 I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here! http://www.drdavidgeier.com/signs-foot-ankle-injury-serious Click the link above for more information about serious foot and ankle injuries and other resources for your sports or exercise injury. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. Foot and ankle injuries are among the most common injuries active people suffer playing sports and exercising regularly. Fortunately, most of these injuries don’t require surgery. This list is far from comprehensive, but here are three signs you have a foot or ankle injury that might require surgery or an extended absence from physical activity. Your pain is getting worse as you proceed through the workout. It might not be a big problem if you have soreness in your foot, or maybe your ankle, that stays at the same intensity through your exercise. If your pain keeps getting worse and worse as you keep going, it could be a sign that you have a more serious problem. You can’t walk without limping. Whether you suffer a traumatic event that started your foot or ankle pain, or if it developed over time with no specific injury, limping can be a bad sign. If you cannot walk with a normal gait and have to limp, it could be a sign that you should get it checked out. You really hurt the next day. If you exercise or play sports one day and find yourself to be miserable the next day, you might have a serious ankle or foot injury. It could just be pain, or you might have difficulty standing or putting weight on your foot. If you are that uncomfortable, you might consider seeing your doctor or an orthopaedic surgeon. Again, this list is not comprehensive, so it should not replace the advice of your doctor. If anything, I hope you would consider seeing your doctor or an orthopaedic surgeon soon after an injury if you have any of these complaints. Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
Просмотров: 195537 Dr. David Geier
Ankle Fractures and the Syndesmosis - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle fractures - syndesmotic injury. Educational video describing fractures of the ankle X - rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. how do we know if we have a syndesmotic injury? By getting the intra-operative stress exam, external rotation of the talus within the ankle mortise, this test determine if syndesmotic instability is present, you will do that test after fixation of the other fractures. The abduction external rotation of the talus will try to displace fibula from the incisura fibularis, the talus will move laterally and displaces the fibula. The ankle will show a valgus talar tilt or increase in the medial clear space. Before you do syndesmotic reduction and fixation, it is important to restore the length and rotation of the fibula. When instability is present, you have to do syndesmotic screw fixation. How do you know if there is instability? Always have a high index of suspicion. Syndesmotic fixation is more required when the fibular fracture is high and there is a deltoid ligament injury. Be skeptical about some of the statements such as fixation is not typically required when the fibular fracture is within 4.5 cm from the joint because that is not true. Just remember: Weber C is commonly associated with syndesmotic injury. So we get the stress views and look at certain measurements to determine if the syndesmosis is injured or not. At 1 cm above the joint we will measure the tibulofibular overlap which will be decreased if there is a syndesmotic injury. We also measure the tibiofibular clear space which will be more than 5 mm if there is a syndesmotic injury. Then we look at the medial clear space which will be increased, normally it should be less than 4 mm. Some people believe that the instability of the ankle appears more in the AP plain. The medial clear space can be increased preoperatively due to injury to the deltoid ligament. This is used to differentiate between supination – external rotation stage II and stage IV injuries. The medial clear space can be helpful intraoperatively after fixation of the fibula to diagnose syndesmotic injury on stress view radiographs. Syndesmosis fixation techniques: - You must restore the length and rotation of the fibula, which is not good enough by itself. - An Accurate reduction of the syndesmosis is required and direct inspection of the syndesmotic reduction is helpful, and this should be supported by x-rays. - Check for widening. - Check for the chenton’s line, dime sign, and that will be done after reduction and after using the reduction clamp. - This is the time to get an AP view and lateral view radiographs, and you assess before you place your screws. Try to use multiple techniques to check on the syndesmosis injury, one of them is the external rotation view the intraoperative one. The other one is the cotton test, get a hook and pull on the fibula and see the movement. The third one is direct inspection of the syndesmosis, make sure the crural fascia may be intact and covering a major syndesmotic injury. After that we go to the technique: 1- You dorsiflex the ankle. 2- Directly inspect and reduce the fibula. 3- Use reduction clamp. 4- Get x-rays to prove that the syndesmosis is reduced and then you put the screws, about 2-4 cm above the joint, with an angle of 20° to 30° posteriorly to anteriorly. Do not use lag screws and do not over compress the syndesmosis with the position of the talus in planter flexion, although a lot of people think it is not possible. Screws are really controversial ad no consensus about them. But there are a few important points about the screws: 1- The 4.5 mm are not used a lot nowadays. 2- When the widening is bad you are going to use more screws and more cortices, the more the better. 3- When you put the screws proximally and you don’t aim anteriorly you may miss the tibia. 4- Make sure when you go from cortex 1 to 2 and 3 in the tibia that you don’t miss cortex number 3 in the tibia. 5- Try to elevate the ankle a little bit so your hand will be allowed to do some anterior direction of the screws, so the screws will be angled a little bit. 6- Occasionally I cross the screws, so will be one direct straight forward and the other one will be oblique. 7- Screw removal: it’s controversial but you will not remove the screws before 3 months. What are the problems with the syndesmosis? • Missing the injury: Reading the x-ray, I use the 5 mm for reading the x-rays, whatever it is in the medial clear space or tibiofibular clear space as my mark, 5 mm is abnormal. • Malreduction of the syndesmosis: I want to make sure the fibula is anatomically reduced to the incisura before inserting the syndesmotic screws; I want to make sure and get an x-ray to check the talus both in the AP and lateral planes.
Просмотров: 19862 nabil ebraheim
Supramalleolar Osteotomy in Patients with Varus Ankle Osteoarthritis
 
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Full video article: https://jbjs.org/reader.php?source=JBJS_Essential_Surgical_Techniques/1/3/e13/fulltext&id=29296&rsuite_id=858459#figures Supramalleolar osteotomies have been reported to be effective in the treatment of moderate primary and traumatic osteoarthritis of the ankle joint The osteotomy is designed to shift the weight-bearing axis to the lateral side of the ankle joint and unload the medial side of the joint. However, Tanaka et al. reported that the joint space cannot be restored to normal in ankles with greater than 10° of talar tilt. In our experience, a supramalleolar osteotomy has been effective clinically and radiographically in the treatment of moderate ankle osteoarthritis with a small amount of preoperative talar tilt and varus or normal heel alignment. The reconstruction occurs in five stages.
Просмотров: 350 JBJSmedia
Fibula Head Mobilisation for ankle and knee pain
 
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Mobilise the head of the fibula to improve ankle mobility and reduce lateral knee pain
Просмотров: 30741 Andrew Tully
AI Diet: Foods to Help Heal a Broken Bone
 
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AUTOIMMUNE DIET: FOODS TO HELP HEAL A BROKEN BONE // Check out this video for dietary tips to help your recovery from a broken bone or fracture. I recently broke my ankle, and after researching what I should be eating to help support my body's healing, I discovered incredible similarities between what we eat for autoimmune health and what we can eat for bone health! ___________________ **Click here to download the "WHICH AI DIET IS RIGHT FOR YOU?" Quiz and get on my mailing list: http://vanessasorenson.com/#resource **Click here to join my "Autoimmune Wellness with Vanessa" Facebook group: https://www.facebook.com/groups/thrivingwithAI/ ___________________________ **The contents of this video are for informational purposes only and do not render medical or psychological advice, opinion, diagnosis, or treatment. The information provided through this website should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. We assume no responsibility for any circumstances arising out of the use, misuse, interpretation, or application of any information supplied in this video. Any application or use of the information, resources, or recommendations presented in this video is at your own risk.
Просмотров: 274 Vanessa Sorenson
What you need to know about Popping Peroneal Syndrome, Ankle Popping / instability by Dr. Kevin Lam
 
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www.NaplesPodiatrist.com talks about a common cause of ankle instability and popping about the ankle joint. Popping is really a tendon dislocating in this instance. Dr. Kevin Lam discussing and doing clinical tests to confirm diagnosis. An MRI will be helpful in these cases. #NaplesFL #topdoc #anklesurgeon #boardcertified Call: 239 430 3668 or request and appointment online via our website: www.NaplesPodiatrist.com
Big Toe Pain  - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes painful conditions of the big toe. Big toe pain is fairly common, since the feet are constantly exposed to stress, overuse and injury from waling and running such as with sports activity. Arthritis When the big toes has limited movement, it is often associated with arthritis of the big toe. Degenerative arthritis of the big toe is painful stiffness and swelling of the first metatarsophalangeal joint. The patient may need fusion of the joint. Hallux Rigidus Arthritis of the big toe joint may be present with large dorsal bone spurs. This is referred to as hallux rigidus. The condition restricts dorsiflexion of the big toe with swelling. There will be some cartilage remaining within the joint space and there will be bone spurring around the joint. The condition is treated by dorsal cheilectomy. Remove 25% of the dorsal aspect of the tarsal head including the dorsal osteophytes. The procedure is contraindicated if the pain is located in the mid-range of joint motion (advanced arthritis need fusion). Hallux Valgus (Bunion Deformity) The condition is more common in women than in men. Once a bunion gets to be painful and shoe wear is uncomfortable, surgery may be needed. Gout The first metatarsal joint is the most common joint in the body to be affected by gout. Recurrent pain in the big toe occur from gout. Gout is caused by the build up of uric acid that looks like needles and the deposit of uric acid crystals inside the joint are negative. Gout may resemble infection. Sometimes there is white tophus or cloudy aspiration. Aspiration and analysis of the joint fluid is the best method for diagnosis. Xrays will show punched out periarticular lesions. Most people with high levels of uric acid do not have a gouty attack. Turf toe Turf toe is the common term used to describe an injury to the plantar plate and sesamoid complex of the MTP of the big toe. It is an injury to the joint at the base of the big toe caused by hyperextension of the big toe. Occurs in contact sports. The injury is seen more from playing on artificial turf since it is harder surface than grass with little “give” when force is placed on it. Xray may show fracture or displacement of the sesamoid. MRI may show disruption of the volar plate. Sesamoiditis There are two sesamoid bones, one tibular and one fibular. The sesamoiditis bones act like pulleys for the flexor tendons and are embedded into the tendons of the flexor hallucis brevis muscle. Sesamoiditis is generalized big toe pain at the bottom of the big toe. Sesamoids are important to the big toe region by absorbing weight-bearing pressure and reducing friction on the metatarsal head and they protect the flexor hallucis longus tendon as it glides between the two sesamoid bones. Any chronic sesamoid condition that is unresponsive to conservative treatment may require surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
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The worst Tibial Plateax Fracture
 
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Information on cause of injury, x-rays, photos and a short video of a movement lesson soon after surgery. Introduction to 'Practitioner Heal Thyself ' series of video's on Rehabilitation Process.
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Fractures Of The Calcaneus - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes fracture of the calcaneus - heel bone. Fractures of the calcaneus could be open or closed. Open fractures can be a big problem. The primary fracture line is caused by an axial load injury. The primary fracture line goes from anterolateral to posteromedial. The primary fracture line divides the calcaneus into two main fragments. Superomedial fragment: •Constant fragment. •Also called sustentacular fragment Superolateral fragment •Tuberosity fragment Superomedial fragment includes the sustentaculum tali and it is stabilized to the talus by ligaments. Talus is attached to constant fragment. The flexor hallucis longus tendon lies underneath the sustentaculum and if screw placement to the sustentacular fragment is too long, this could affect the flexor hallucis longus tendon, causing fixed flexion of the big toe. Type I-- Nondisplaced/Non-operative treatment Type II--Two-part fracture of the posterior facet. Type III--Three-part fracture of the posterior facet. Sander’s type II & type III calcaneal fractures will benefit from surgery of reduction and fixation. Type III usually gets more arthritis because it has more fracture fragments and may end by fusion. Type VI •Highly comminuted •May require primary subtalar arthrodesis. Calcaneal avulsion fracture is an important topic. Calcaneal avulsion fractures need urgent reduction and internal fixation to prevent skin complications. Avulsion fracture of the calcaneus is an emergency. Do not wait, do emergency surgery. For joint depression fracture, wait for swelling to go down before surgery. Open reduction and internal fixation of the calcaneus is generally delayed for 1-2 weeks to allow for improvement of the soft tissue swelling, except with fractures of the posterior tuberosity (avulsion fracture) which can cause skin tenting and urgent reduction is recommended. Associated conditions •Spine fractures-10% •Compartment syndrome of the foot -10% : if neglected will lead to claw toe due to contracture of the intrinsic flexor muscles. •Calcaneocuboid joint fractures-60% •Bilateral fractures of calcaneus -10% •Peroneal tendon subluxation: may be detected on axial CT scan. May be seen as an avulsion fracture of the fibula on x-rays. Complication rate is high. Factors associated with poor outcome are: •Age (older than 50 years) •Smoking •Early surgery •History of a fall •Heavy manual labor •Obesity •Males •Bilateral injury •Workman’s compensation •Peripheral vascular disease. Men do worse with calcaneal fractures than women. Calcaneal fractures are better if the patient is a female. •Young females less than 40 years of age. •Patient has a simple fracture pattern. Man with calcaneal fracture: •Workman’s compensation •Heavy labor •0-degree Bohler angle: measured on lateral x-ray (Harris view and axial view) •Probably will need subtalar fusion. Bohler angle is formed by a line drawn from the highest point of the anterior process of the calcaneus to the highest point of the posterior facet and a line drawn tangential to the superior edge of the tuberosity. A decrease in this angle indicates the collapse of the posterior facet. Stress fracture of the calcaneus may be misdiagnosed as plantar fasciitis. •Occurs in female runners. •Swelling •Tenderness with medial and lateral compression of the hindfoot. •A compression test or squeeze test. Positive squeeze test could mean there is a stress fracture of the calcaneus. •Get an MRI if x-ray is negative •Will see a fracture in T1 as a linear streak or a band of low signal intensity in the posterior calcaneal tuberosity. •T2 will find an increased signal. Complications 1-Wound-related complications are the most common complications (20%). Occurs more in smokers, diabetics and in patients with open fractures. 2-Open fractures of the calcaneus--May lead to amputation & there is a high risk of infection. 3-Malunion of the calcaneus 4-Peroneal tendon irritation and impingement from the lateral wall. Surgery decreases the risk of post-traumatic arthritis. Tongue-type fracture may benefit from closed reduction and percutaneous fixation or open reduction and internal fixation. Joint depression type usually needs open reduction. Some surgeons advocate conservative treatment of the calcaneus. Subtalar distraction arthrodesis plus insertion of a bony block and rigid internal fixation The lateral calcaneal artery provides blood supply to the lateral flap associated with the calcaneal extensile approach. Be aware that the sural nerve is in the vicinity of the surgical area. The extensile approach has delayed wound healing in about 20% of cases. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
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Knee Pain: Symptoms, Treatment, and Prevention
 
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What is this pain in my knee? Treatment and prevention tips for Runner's Knee, IT Band Syndrome, Arthritis of the Knee and Chondromalcia. Shop Now: http://goo.gl/u8RnLB Subscribe: http://www.youtube.com/user/footsmart
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Knee Dislocations - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Educational video describing the types and treatment available for knee dislocations and possible vascular or nerve injuries. The knee joint allows for flexion and extension. These functions allow the body to perform activities like walking, running and sitting. Knee dislocations occur as a result of violent trauma. The femur and tibia are not articulating with each other. The bones of the knee are held together by strong ligaments. For a knee dislocation to occur, 3 out of 4 of these ligaments have to become ruptured. Types of knee joint dislocations: •Anterior •Posterior •Medial-lateral •Rotary: usually posterolateral. The medial femoral condyle can button-hole through the medial soft tissues resulting in a “dimple sign”. It is often irreducible. Posterior dislocation/ dashboard injury Most common mechanism of injury includes exaggerated hyperextension of the knee and dashboard injuries. Posteriorly directed force with the knee flexed in 90 degrees. The peroneal nerve is tethered at the fibular neck. The incidence of nerve injury ranges from 14% to 35%. Arterial injury •Vascular damage is most common in anterior and posterior dislocations in approximately 40% of the cases. Arterial damage in approximately 20-40% of all knee dislocations. Knee dislocation is associated with a high incidence of popliteal artery injury. •With an established popliteal artery and resultant ischemia, blood flow must be restored within 6 hours. •Posterior tibial and dorsalis pedis pulses should be carefully evaluated and compared to the other side in any patient with a knee dislocation. •Look for any evidence of ischemia, diminished blood flow, or compartment syndrome. •Urgent reduction of the knee dislocation is mandatory •Be aware of spontaneously reduced knee dislocations and its associated pathology. •Reevaluate circulation after reduction, if pulses are normal, serial follow-up up to 48 hours with clinical examination and non-invasive studies (ABI). If ABI is 0.9 or more, then the patient will not have an arterial injury. If pulses are abnormal or different, do arteriography. If no pulses then do an immediate exploration in the OR. Treatment •Arterial injury is treated with excision of the damaged segment and reanastmosis with a reverse saphenous vein graft and prophylactic fasciotomy. •Early surgery if ligament avulsion is present- important ligament to reconstruct is the PCL- if posterolateral corner disruption. •After reduction, the patient is placed into a knee immobilizer or external fixator. •Delayed elective reconstruction of the knee ligaments is usually done at a later date. •The PCL is an important ligament to reconstruct.
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Ankle Fractures
 
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An animated description of the anatomy and treatment of ankle fractures.
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How Long Will A Broken Ankle Hurt For?
 
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X rays revealed a clean break in the fibula, (the thin outer bone) which would require six to seven weeks plaster. Some distal tibia fractures can involve the rear or 10 mar 2018 complications of a broken ankle foot are uncommon but may include arthritis. The orthopedic doctor will examine and x ray or do a scan of the hi, i'm now 7 weeks in after break have had boot last 2 where i been able to put weight on. As mentioned above, your doctor will most likely monitor the bone healing with repeated x rays. Crutches may also cause pain in the arms and hands, or falls if not used correctly. But how long does a foot take to stop hurting? Particularly in time stressed little girl from high power suburban note of any loss function you experience your ankle. Osteoporosis ankle fracture aftercare medlineplus medical encyclopedia. However, depending on your general health and the condition of bone soft tissue, healing can take much longer 17 apr 2016 read patient information from medlineplus ankle fracture aftercare it takes at least 6 weeks for broken bones to heal. What to expect when you break your ankle broken. The fibula is located on the outer, or lateral, side of leg. A broken bone and the surrounding soft tissue damage need a minimum of six to eight weeks heal. This is typically done more often during the first 6 weeks if surgery not chosen 9 jun 2015 when three days brought no improvement, i visited our local minor injury clinic on two walking sticks. How to treat a broken ankle (with pictures) wikihow. The ankle actually involves two joints, one on top of the other. It's so scary and my ankle is actually hurting i've sat down again as has made me feel unsettled the severity of fractures can vary greatly from minor cracks in a single bone, to multiple displacement joint. Also, these broken ankle crutches will not allow you to keep your injured 16 oct 2016 it is often impossible diagnose a fracture (broken bone) rather than sprain, dislocation, or tendon injury without x rays of the. In a child it might be faster, in an older person probably bit longer. The distal ends of the tibia and fibula bones are also known as medial lateral malleoli, respectively. It may take longer for the involved ligaments and tendons to heal. The tibia is the shinbone and located on inner, or medial, side of leg. If your bone is fractured, moving it nearly impossible, while you will still be able to move if sprained. How to identify an ankle fracture aofasbroken broken foot symptoms and causes mayo clinic. A broken ankle can fibula, or both bones. General information about pain after a fracture. How long does it take to heal from a broken ankle. If you have an open fracture. An x ray is needed to lower leg and foot. This is a good way to tell if your ankle fractured or just sprained. Of course, if you have incurred an ankle injury, the only definitive way to tell bone is fractured visit orthopedic doctor in jacksonville. Pain!! how long does it last? ? Ankle fractures (br
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Bone Fracture - Types, Fracture Repair and Osteomyelitis
 
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http://armandoh.org/ https://www.facebook.com/ArmandoHasudungan Support me: http://www.patreon.com/armando Instagram: http://instagram.com/armandohasudungan Twitter: https://twitter.com/Armando71021105
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Tibial Plateau Fracture with Metal Plate Fixation
 
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Open reduction and internal fixation of tibial plateau fracture. Side plate and multiple screws used to hold fracture fragments together. Fracture lines run into the knee joint and, once healed, can develop into an abrasive opposing surface for the femoral condyles. This situation can eventually result in joint arthrosis and possible total knee replacement.
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FIBULAR HEAD AND KNEE PAIN Part I
 
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Jerry demonstrates treatment for knee pain that is actually related to the joint located below the knee. At one end of the fibula is the ankle joint, and the top end is just below the knee joint but is not part of the knee joint. On rare occasions, dysfunction in this joint is misdiagnosed and mis-treated as "knee joint injury". Dr. Jerry Hesch, MHS, PT, DPT lives in Aurora Colorado and additional information can be found at www.HeschInstitute.com
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Exercises for Ankle Joint Ligament Injury & It's Recovery Period
 
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For the Ankle Joint Ligament Injury to heal completely and in the fastest possible time, it is imperative to do the following exercises, which is shown in the video diligently. In post ankle joint ligament injury, there is substantial swelling and reduced range of motion of the ankle. Learn about the exercises and recovery time for ankle joint ligament injury. Also Read: https://www.epainassist.com/sports-injuries/ankle-injuries/ankle-joint-ligament-injury Follow us: Facebook: https://www.facebook.com/Epainassistcom-370683123050810/?ref=hl Twitter: https://twitter.com/ePainAssist G+: https://plus.google.com/+Epainassist Linkedin: https://www.linkedin.com/in/epainassist
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5 Steps to Ankle Pain Relief
 
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Dr Saran's 5 Steps to Ankle Pain Relief Ankle is an intricate network of bones, ligaments, tendons and muscles. Strong enough to bear your body weight, your ankle can be prone to injury and pain. You may feel ankle pain on the inside or outside of your ankle or along the Achilles tendon, which connects the muscles in your lower leg to your heel bone. Although mild ankle pain often responds well to home treatments, it can take time to resolve. Severe ankle pain should be evaluated by your doctor, especially if it follows an injury. Here are 5 steps to pain relief. Keep training Dr Saranjeet Singh drsaranjeet@gmail.com
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Should you have your plate and screws removed after your ankle fracture heals?
 
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Many of the surgeries we perform as orthopaedic surgeons involve placing implants, whether they are screws, plates, nails, or suture anchors. In this Ask Dr. Geier video, I discuss whether the hardware should be removed routinely after a very common orthopaedic surgery – surgery to fix an ankle fracture. http://challenge.drdavidgeier.com/ds/906ca4c8 I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here! http://www.drdavidgeier.com/ask-dr-geier-ankle-fracture-hardware Click the link above for more information about plates and screws and other resources for your sports or exercise injury. Get The Serious Injury Checklist FREE! How can you know if your injury should get better in a few days or if it's more serious? This checklist can help you plan your next step to recover quickly and safely. http://www.sportsmedicinesimplified.com Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: https://www.drdavidgeier.com/resources/ The content of this YouTube Channel, https://www.youtube.com/user/drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK. Vikas writes: I broke my right ankle a year ago while playing football. Can I play football while there’s a plate still in? Or should I remove it and then play? After most surgeries, the hardware causes little trouble to the patient. Because people have little fat or muscle over the bones around the ankle, many people can feel the screws there with sports and exercise. If you do have discomfort, removing the screws or plate and screws can relieve that pain. It does take time to recover from the second surgery and return to play. There are situations where orthopaedic surgeons do remove the hardware. Complications such as infection or nonunion (the fracture doesn’t heal) that we would likely remove the hardware from the ankle. Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
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What Happens In Scenarios Of Tibial Plateau Fractures In Personal Injury Cases? | (219) 874-4878
 
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http://www.michigancityinjurylaw.com Pejic & DiMartino, P.C. 1000 Washington Street Michigan City, IN 46360 (219) 874-4878 Personal injury defense attorney Guy DiMartino explains the scenario of tibial plateau fractures in car accident incidents in Michigan City, Indiana. For More Information about Personal Injury Please Visit http://en.wikipedia.org/wiki/Personal_injury For More Videos Of Attorney Guy S. DiMartino Please Subscribe https://www.youtube.com/channel/UCPQC0ZtxpmZQX_--zMyTrWw Related Videos https://www.youtube.com/watch?v=eydwnXxJArs https://www.youtube.com/watch?v=pTmwpZGpqRc https://www.youtube.com/watch?v=rGKc9ZUxm08 https://www.youtube.com/watch?v=ubv2LqFhToM https://www.youtube.com/watch?v=M8l1e3S0V3g
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How to Regenerate Joints
 
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How to Regenerate Joints Joints can regenerate IF you give them 3 things. 1) Proper nutrition/hydration (a dry joint is a malfunctioning joint) 2) Nerve Connection (if the brain can't get the right "perception" of a joint, then it won't move correctly) 3) Movement (PROPER movement of a joint keeps it nourished and strong) At http://bergmanchiropractic.com and http://Owners-Guide.com we strive to educate people on natural solutions to health. http://www.theArthritisReversalSystem.com is my online video course with 21 videos, 3 manuals and an online forum! http://SkypePackage.com for online consults. SUBSCRIBE at http://www.youtube.com/user/johnbchiro CALL TOLL FREE 1-855-712-0012 to get bonus materials not on YouTube or text your first name and email plus 89869 to 1-817-591-2905.
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Ankle Sprain? Is it BROKE? How to Tell & What to Do. How to Wrap.
 
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"Famous" Physical Therapists Bob Schrupp and Brad Heineck instruct you in how to handle a recent ankle sprain. They will instruct you on whether or not you need x-rays. They will also demonstrate the proper way to wrap a sprained ankle. SORRY misspelled "Problem" in opening quote ( : Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA
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Avulsion Fractures & Bone Bruises Around The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim's animated educational video describes avulsion fractures and bone bruises around the knee. Medial collateral ligament avulsion •It can be avulsed with a piece of bone from the femur. It is a proximal avulsion fracture. Pellegrini-Stieda syndrome •The injury is sometimes indicated by calcification occurring on the medial epicondyle. Chronic calcification seen on x-rays on the medial epicondyle of the femur. Anterior cruciate ligament avulsion •Avulsion of a piece of bone from the tibial eminence anteriorly. Avulsion of a piece of bone can be seen on the AP and lateral x-rays. ACL avulsion fracture may be an isolated injury or it may sometimes be associated with other injuries and fractures such as tibial plateau fractures. Tibial spine fractures in children mimic ACL avulsion fracture in adults. Posterior cruciate ligament avulsion •Avulsion of a piece of bone posteriorly. This is the most common presentation of avulsion of PCL. Fibular head avulsion (arcuate sign) •Fibular head avulsion fracture will indicate that the posterolateral corner is involved. Fibular head avulsion fracture will indicate that the posterolateral corner is involved. The arcuate sign should be recognized as a significant injury. Sometimes the avulsed piece is too small and the injury can be missed. If not diagnosed and dealt with properly then posterolateral instability of the knee can occur. Failure to diagnose it may result in failure of the cruciate ligaments because the posterolateral corner instability was not diagnosed or treated properly. The arrangement of the insertion of ligaments or tendon into the fibular head from anterior to posterior: 1-Lateral collateral ligament 2-Popliteofibular ligament 3-Biceps femoris tendon. Lateral capsule segond (indicates torn ACL) Bone bruises Lateral subluxation of the patella causing a contusion (bruise) on the medial aspect of the patella and on the lateral femoral condyle. ACL tears may cause bone bruises laterally on the middle of the femoral condyle and on the posterior aspect of the tibia laterally. How do you know it is lateral? Check for the fibula on MRI. None bruise laterally indicates an ACL tear. Fat within the aspirate if the knee, indicates an occult fracture. Because fat is less dense than blood, it floats on the surface. The blood is heavier so it stays at the bottom. The presence of fat/fluid level is diagnostic of a fracture even if a fracture is not seen on x-ray (occult). Fat/fluid level is seen in some cases of tibial plateau fractures, chondral injuries and patellar fractures (not seen on x-rays). Lipohemarthrosis is seen better with cross-table lateral view of the knee. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
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Structures Inserted Into The Fibular Head  - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes the structures that insert into the fibular head is a simple and easy way and explains the anatomy of the region with simple and clear images that provides you with all you need to know. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
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How to rehab an injured ankle
 
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Everything you need to know about fixing football's most common injury How to get a scan: 0:29 How to test range of movement: 2:56 Functional assessment tests: 4:00 Rehab exercises: 5:30 SUBSCRIBE: http://fft.sm/6lZeN3 WEBSITE: http://fft.sm/XLBtaK Follow FourFourTwo Performance on: Instagram: http://fft.sm/TfnkQl Facebook: http://fft.sm/UXATZS Twitter: http://fft.sm/HcBNn9 Follow FourFourTwo on: Twitter: http://fft.sm/IVvx5C Facebook: http://fft.sm/8h27Gv Google+: http://fft.sm/tBDyjD Snapchat: FourFourTwoUK
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Dislocations Of The Talus - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes the Dislocation of the Talus Bone, which can be either Total or Subtalar, Subtalar could be Lateral or Medial. Dislocations of the talus can be a total dislocation or a subtalar dislocation. Types of dislocation Total dislocation of the talus which is not accompanied by a fracture is a very rare injury. Most of the injuries are open. Urgent care is necessary to avoid soft tissue complication. High risk of avascular necrosis of the talus, arthritis and soft tissue infection. Subtalar (the foot is lateral or medial ). Subtalar dislocation of the talus is a rare injury that results from excessive pronation. It involves simultaneous dislocation of the distal articulations of the talus at the talocalcaneal and talonavicular joints. Lateral subtalar dislocation/ tibialis posterior tendon entrapment It is often a result of high energy trauma. Worse long-term prognosis. Irreducible lateral dislocation due to interposed tibialis posterior tendon. Could be unstable and may sublux. May need CT scan to check for fractures. Medial subtalar dislocation 85% of the dislocations are medial and often result from low energy trauma. Irreducible medial dislocation due to interposed extensor digitorum brevis or extensor retinaculum. The direction of subtalar dislocation has important effects with respect to management and outcome. Complications of subtalar dislocation may include stiffness and subtalar arthritis. Treatment •Stable- closed reduction with 3-4 weeks of immobilization followed by physical therapy. •Unstable- after closed reduction internal fixation may be required. The anteromedial incision is used for medial dislocation. Lateral approach is used for lateral dislocation.
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Natural Healing | How to Heal Broken Bones Fast and Naturally  | Bone Fracture Treatment
 
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Natural Healing | How to Heal Broken Bones Fast and Naturally | Bone Fracture Treatment Please subscribe our channel: https://www.youtube.com/channel/UC3bbPJNgY1LZQtwLTDaxbbQ Like us on Facebook: https://www.facebook.com/Natural-Treatment-107699252942387/ How To Heal Broken Bones Naturally 1-Check your protein intake You might not associate protein with bone health, but when it comes to helping a broken bone heal, this is one area you need to pay attention to. Bones are made up of “living” protein, and depriving your body of protein during the healing process will result in a soft bone callus rather than the rigid ones necessary for bone strength. 2-Take calcium and lysine Calcium is essential to bone health, but if you don’t have the right amino acids, it isn’t going to be as productive as it could be. Lysine is important when it comes to calcium absorption, so make sure you include that in your dietary routine. 3-Make sure you are eating the right amount of calories It may not seem like it, but your body is using a lot of energy to repair that broken bone. Just because you are suddenly sidelined with an injury doesn’t mean you should cut way down on your diet. A severely broken bone could demand up to 6,000 calories a day for healing! 4-Make sure to get enough minerals in general While calcium is a must, experts indicate most people are deficient in essential minerals even when they aren’t trying to heal a broken bone. Make sure you get enough calcium, zinc, magnesium, copper, phosphorus, and silicon. 5-Check your vitamins Like minerals, certain vitamins can help that broken bone heal faster. Make sure to get enough vitamin K, C, B6 and D. Make sure to get enough minerals in general: While calcium is a must, experts indicate most people are deficient in essential minerals even when they aren’t trying to heal a broken bone. Make sure you get enough calcium, zinc, magnesium, copper, phosphorus, and silicon. 6-Exercise Granted, there are some things you can and can’t do with a broken bone, but if you are able to be mobile without risk of displacing the bone, you should do so. Being active promotes blood flow and thus speeds healing. 7-Consider your natural aids Though not approved by Western medicine, there are some herbal remedies to help speed bone healing. People interested in adding alternative therapies should look into the use of arnica, wild comfrey, horsetailgrass, and burdock leaf poultice. Be sure to consult with an herbalist and your physician before using one of these suggestions. This is the Best Remedy for Healing Broke Bones! healing,broken Sprain, Bone, Bone Fracture , Injury, Comfrey, Comfrey Leaf, Comfrey Root, Comfrey Plant, Medicine, Plant Medicine, Natural Healing, Natural Remedy, Cast, cell regeneration, Quick healing, Bone trauma, Broken bones, Carpal Tunnel, arthritis, solar dehydrater, raw, vegan,pain relief, clavicle fracture treatment and repair, bone fracture, hip fracture, broken ankle, broken wrist, fracured bone, fracture first aid, leg fracture, fracture treatment, bone fracture treatment broken foot bone, broken bone in hand, broken arm, bone injuries, bone fracures symptoms, broken ribs, broken collar bone, Boutenko, raw vegan, Susun Weed, , breathing,
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How to Use a TENS / EMS Unit for Ankle Pain Relief - Ask Doctor Jo
 
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A TENS / EMS Unit can be a great tool for helping to reduce and relieve ankle pain. Here are some pad placements to help relieve different types of ankle pain. Use code DRJO to get 10% OFF a Healthmate Forever TENS/EMS Unit here: http://shrsl.com/10snv (affiliate link) Some common ankle injuries that may benefit from a TENS/EMS unit include things like achilles bursitis, sprains, strains, heel pain, bone spurs, tendonitis, ankle impingement, and general arthritis. TENS (Transcutaneous Electrical Nerve Stimulation) is used to help reduce pain and increase circulation. Basically the vibration of the TENS follows the same pathway as the pain pathway to the brain and helps cancel it out. It is a great alternative to pain medication. A TENS uses two or four electrodes with cross currents to surround the area. The deep vibration/massage helps relax the muscles and allow for healing. You should not get a muscle contraction when using TENS. EMS (Electrical Muscle Stimulation) is designed to treat more of the muscle area than the nerves. It helps activate the muscles to help healing, and regain strength in that muscle. EMS is uncomfortable, and you should get a contraction with this. To help with elbow strengthening, placing the electrodes over the wrist extensor muscles is a great option. Healthmate Forever has a wide variety of TENS/EMS Units and pads. The unit I'm using in this video is the T24AB. Check out their full line of products and learn more at: http://shrsl.com/10snv (affiliate link) Related Videos: Lateral Sprained Ankle Stretches & Exercises: https://www.youtube.com/watch?v=3JJayVC0-20&t=0s&index=7&list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq Ankle Impingement Stretches & Exercises for Pain Relief: https://www.youtube.com/watch?v=bhIP-s2NqAE&t=0s&index=23&list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq =========================================== SUPPORT me on Patreon for as little as $1 a month, and get cool rewards: http://www.patreon.com/askdoctorjo =========================================== How to Use a TENS / EMS Unit for Ankle Pain: https://www.youtube.com/watch?v=126Pd147D8M DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a treatment plan and is intended for general education and demonstration purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Ask Doctor Jo, LLC, its officers, employees, and contractors for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Ask Doctor Jo, LLC makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk. PRODUCT PLACEMENT DISCLAIMER: This video contains paid product placement. Thank you to Healthamate Forever for sponsoring this video and providing Doctor Jo with a free T24AB TENS/EMS Unit to use.
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Knee Pain, Meniscal Tear Diagnosis & MRI - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describes knee pain and its indications. The patient will come to you with a history of a twisting injury and pain around the knee. The patient may give you a history of mechanical symptoms, such as: locking, clicking, or some swelling. You examine the patient and you’ll find there is joint line tenderness, maybe some effusion, and mcmurray’s test may be positive; Painful click is obtained at the knee is brought by flexion to extension with internal or external rotation. This maneuver also helps you to differentiate if the meniscus tear is on the medial or lateral side. Treatment: • NSAIDS • Physical Therapy • Injections • If there is no improvement, get an MRI. • You get the MRI early if patient has locked knee, means: you don’t have full extension of the knee, or if there is blood in the knee, so when you aspirate the knee because there is an effusion you get blood and you suspect ACL, you get an MRI. • In this situation you will suspect lateral meniscal tear. • It is usually a vertical tear of the posterior horn of the lateral meniscus and it is the commonly missed tear on an MRI. • Get x-ray first before you get an MRI to check if there is a fracture, arthritis, or any other problems in the knee. Why do you get an MRI? Because the clinical diagnosis accuracy is about 70%, and because there are other issues on the knee that can give you the same symptoms like the meniscal tear. These things may be intra articular or extra articular, and the symptoms will mimic meniscal tear, so we get the MRI, and it is the most sensitive test. You need to know these facts: • The lateral meniscus has twice the excursion of the medial meniscus, that’s why the medial meniscal tear is three times more often to occur than the lateral meniscus, so look for a tear of the medial meniscus because it is more common than the lateral meniscus. • Also the lateral meniscus will have most of the meniscal cyst. • On an MRI, how do you know which is the lateral meniscus? Check the position of the fibula, the lateral meniscus is on the same side as the fibula, also note that the fibula is posterior. • MRI is the best study to diagnose or to confirm meniscal pathology. • What do you see on the MRI? A normal meniscus will be dark; in the video we can see how we make these cuts in the MRI of the meniscus. The globular intrasubstance signal: • This increased signal intensity is within the meniscus, but it doesn’t extend to the surface of the meniscus in the grade I tear. • In grade II tear: you will have a linear area increased signal intensity, its inside the meniscus, and it does not go to the surface of the meniscus. • In grade III tear: you can see that the tear extends to the articular surface. What are the MRI signs of the meniscal tear? • Grade III signal, extend to the surface of the meniscus, among other things., example: may be horizontal, vertical, radial, oblique, complex, could be degenerative, displaced or missing a fragment, it can be in different forms and types, but there are a few important things in the MRI worth mentioning, this material frequently comes in the examinations, and they are: 1- The double PCL sign, the bucket handle tear of the medial meniscus, it is seen on the sagittal MRI, when a torn meniscal fragment is flipped and displaced into the notch, it’s a 100% specific for a flip bucket handle medial meniscal tear. 2- On the other hand bucket handle tear of the lateral meniscus where the posterior horn of the lateral meniscus flips anteriorly you will see the double anterior horn sign. What are the false positives in the MRI? 1- There’s a ligament called the transverse meniscal ligament, which attaches to the anterior horn of the lateral meniscus, and this one mimics the meniscal tear. 2- There is also a meniscofemoral ligament, attaches to the superior horn of the lateral meniscus, and this one also mimics meniscal tear. It is the humphrey or the wrisberg ligament. 3- Also if you have fluid tracking onto the sheath of the popliteal tendon, it will mimic posterior horn lateral meniscal tear. 4- Discoid meniscus: it is common in the lateral meniscus, patient will have a history of clicking or locking, or history of lack of full knee extension, patient will have more than 2 bowties, and the meniscus will extend beyond the half-way point of the condyle. 5- Parameniscal cysts: if you see it, you could have meniscal tear, especially with lateral meniscus horizontal tear, for this condition you will do partial meniscectomy and decompression of the cyst, the differential diagnosis will be: ganglion cyst and bursitis. 6- Baker’s cyst: you could have a combination of meniscal tear and baker’s cyst, it does not mean you have a meniscal tear,
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Ankle Fracture , Stress View Radiographs - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video describing fractures of the ankle - external rotation stress view radiographs. Educational video describing fractures of the ankle X - rays. It describes ankle fracture classification, ankle fracture dislocation. It also describes ankle fracture treatment and ankle fracture surgery and ankle fracture recovery. You will do the stress view of the ankle before surgery to check the medial clear space. Check to see if the medial clear space is greater than 5mm which is a sign of a deltoid ligament injury. The injury is supination external rotation type IV and not type II, and this one will need surgery. The truth is, an isolated femoral fracture without talar displacement is a difficult problem, ans clinical examination is unreliable in predicting medial injury. Swelling, tenderness or ecchymosis is of limited value in predicting ankle instability. So we do 1 of 2 things, either: (both of them are more sensitive in predicting ankle instability): 1- external rotation stress radiograph: do external rotation of the foot with the ankle in dorsiflexion. Check the ankle in the mortise view. I personally like to inject the ankle with numbing medicine in order to make this less painful for the patient. The whole idea with abduction and external rotation of the talus is to attempt to displace the fibula from the incisura fibularis. When the talus moves laterally, freely because the deltoid is injured and it displaces the fibular fracture that will cause an increase in the medial clear space. 2- gravity stress test: support the leg with pillow and allow the ankle to rotate with gravity. Occasionally I get a CT scan of the syndesmosis and compare both sides. Magnify the view and measure it by the computer. So the most predictive factor of the medial side ankle injury is the presence of a high fibular fracture at or above the joint level. If you have a stress radiograph showing the medial clear space 4-5 mm or 1mm greater than the superior joint space. That means there is a deltoid ligament incompetence, & the talus is free, and it is probably a supination- external rotation injury type IV not II. Also look for any talar subluxation, it means that the ankle is unstable. The most important point in assessing ankle for surgery is the position of the talus within the mortise. The deltoid ligament is the primary stabilizer of the ankle point under physiological loading conditions. During surgery, you can use the stress views or cotton test. You want to make sure you don’t have syndesmotic injury, and you can use the criteria that decrease tibiofibular overlap or decrease in the medial clear space which should be less than 4mm. Or increase in the tibulofibular clear space more than 5 mm, which you will measure 1 cm above the joint. You do stress view after fixing the malleoli, just remember: you will need more syndesmotic screws in weber c, especially if the deltoid itself is injured. I have never seen an exam that doesn’t have something about assessing the stability by abduction, external rotation, stress view of the ankle, either before surgery or during surgery. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29
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tibial plateau fracture 8 weeks (end of non weight bearing).
 
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Me attempting to get around on be leg just after the 8 Weeks non weight bearing period ended. Using just one crutch since when I came off my ebike I landed first on my left leg and then on my left shoulder... Exiting an ebike backwards at 30Kph with the front wheel up at the 12 oclock position isn't a really good thing to do to your body oops... All foward momen tum was absorbed by my left leg and a lot of vertical movement by my left shoulder
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KT Tape: Ankle Stability
 
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This application can be used for a variety of ankle issues including ankle sprains, stretched ligaments, inflamed tendons, or general ankle weakness. The added support will give you the confidence and support during the rehabilitation phase of an injury as well as the stability and pain relief during activity. Ankle injuries can happen a number of different ways. They can occur during an acute injury, or a sudden rolling or twisting of the ankle. These types of injuries generally involve great pain and swelling. Typically acute injuries are inversion ankle sprains wherein the foot rolls to the inside while stepping on an uneven surface such as a curb, hole, or root. The first strip applied will help to keep the foot everted and decrease your tendency to suffer another sprain. The second and third strips provide excellent proprioceptive stability. Overuse or chronic ankle injuries occur overtime and are often the result of over training or training in poor conditions such as inappropriate footwear, uneven or dense surfaces, or simply too much too soon. These injuries are characterized by inflammation and are generally the result of other injuries. The stability provided by this application allows these inflamed tendons and ligaments to rest and avoid further injury. Ankle instability or weakness can lead to chronic sprains and tearing of ligaments and tendons and lead to other injuries. Unlike traditional ankle braces, KT Tape provides support that is very comfortable and allows you to have a greater range of motion. This application also helps to provide support without limiting your range of motion or decreasing your blood flow. For additional resources, please visit the KT Tape website at www.kttape.com.
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Ankle Dislocation injury within 4 mint Before and after Tit Tar Treatment| Ankle Dislocation treatme
 
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#MasterChrisLeong#BoneSettingspecialist#tittar#clmethod#sunwaydamansara#midvalley#speedyrecovery#CLM#teamMCL#Spinner#Malaysia#sniper#cl#healthy#health#migraine#sciatica#osteoarthritis#lowerbackpain#stroke#Therapy#therapist#carpaltunnelsyndrome#backpain#mcl#frozenshoulder#healthtips#healthytips#triggerfinger#lowerbackpainrightside#lowbackpain#exercisesforbackpain#ChrisLeong#stretchesforbackpain#legPain#KneePain#cervicalneckpain#TCM#frozenshoulder#sorelowerback#dislocatedjoints ----------------------------------------------------------------- Dislocated ankle facts • An isolated dislocated ankle is a rare injury. Usually, there is an associated fracture of the bones that make up the ankle. • The ankle usually dislocates as a result of a fall, motor-vehicle crash, or sporting injury causing damage to ligaments and bones. • In addition to the bony injury, there can be damage to blood vessels, nerves, and skin. • The diagnosis is often made clinically. • The emergency treatment is to reduce the dislocation as soon as possible and then splint the ankle to prevent further damage. • Orthopedic or podiatric consultation is usually required since surgery may be required depending upon the patient's situation. • Arthritis is a common complication of an ankle dislocation. • Most dislocated ankles result from accidental injury and are difficult to prevent. What is a dislocated ankle? The ankle is a hinge joint that connects the lower leg to the foot. The tibia and fibula of the leg come into contact with the talus of the foot, forming the ankle mortise. The majority of the weight bearing in the ankle occurs between the tibia and talus. While the shape of the mortise helps align the ankle joint, the surrounding ligaments are very important in providing stability. A dislocated joint describes the situation where the bones that come together to form a joint no longer maintain that normal relationship. In the ankle, it means that the tibia and talus no longer maintain their normal anatomic relationship. Most commonly, a dislocated ankle is associated with fractures of the distal ends of the tibia and fibula (called the malleolus) in association with damage to the ligaments that help support the ankle joint. Less commonly, isolated ligament injuries can result in the dislocation. What are causes and risk factors for an ankle dislocation? Ankle dislocations do not happen spontaneously but are a result of a trauma. Forces are placed on the ankle that cause the bones to fracture or the ligaments to tear, resulting in the dislocation injury. The ankle is an inherently stable joint and the direction of the dislocation depends upon the position of the foot and where the force arises. Ankle dislocations are more often associated with fractures of the bones that make up the joint. Common causes of dislocations include falls, motor-vehicle crashes, and sports injuries. The most common type of ankle dislocation is posterior, where the talus moves backward in relation to the tibia. For this to occur, the foot needs to be plantar flexed (the toes are pointing downward) when the injury occurs. The ankle is either forced inward from the outside (inversion) or outward from the inside (eversion), tearing the ligaments and tissues that hold the ankle stable. Anterior dislocations, where the talus is pushed forward, occur when the foot is fixed or dorsiflexed (where the toes are pointed upward). The force from in front of the foot pushes the tibia backward. Lateral dislocations occur when the ankle is twisted, either inverted or everted, but there are always fractures associated with either the medial or lateral malleolus or both. Superior dislocation describes where the talus is jammed upward, into the space between the tibia and fibula, as a result of an axial loading injury and is called a pilon injury. This may be due to landing on one's feet from a fall or from being in a car wreck where the foot is held firm against the brake pedal. What is the treatment for a dislocated ankle? Once the initial evaluation is complete, the goal of emergency treatment of an ankle dislocation begins with trying to reduce the injury, returning the bones as close as possible to their normal anatomic position. Often the bones will fall back into place with gentle traction. Sometimes medication is required to sedate the patient and help the surrounding muscles relax. If there is evidence that the blood and nerve supply to the foot are in jeopardy or if the skin is tented and stretched and the clinical diagnosis of ankle dislocation is made, attempts to reduce the ankle joint may be necessary even before an X-ray is taken to preserve nerve and blood vessel function. Once the ankle is reduced, examination of the blood and nerve supply to the foot is repeated and a temporary plaster or fiberglass splint is placed. An orthopedic or podiatric consultation may need to occur emergently, especially if there are unstable fractures present, if nerve or
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How Long Do You Need To Wear A Cast For A Broken Hand?
 
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Usually a fracture (break) can occur in any of the bones hand. Usually er xray showed fracture, no displacement of bone, just cracked. If you suspect or someone are with may have a fracture in the hand should some fractures result, long term, arthritis; This particularly applies to 29 2017 if you're reading this article, probably want know how it young child who broke his her wrist need wear cast on other hand, now that i've had re learn things, i do them even better jul index and fingers' lesser ability adapt finger corresponding fractured metacarpal does not line up over time can be removed after period of changed delay seeing doctor think medical problem you've been treated for broken wrist, will splint second 2 3 weeks, swelling goes down non dominant help, but difficult takes 28 2016 less well trained brawlers punch without bones connect shaft is long, slender portion bone. Bathing your hand in warm water for 10 mins two to three times day can be helpful as long you have been directed here from the fractures and casts homepage how should hold it up? It is possible that or arm could swell inside cast splint, become too tight. Your health care provider will tell you how long need to wear the splint. Broken arm or wrist nhs choices. General information on hand fractures. Wearing a sling always puts the arm below level of heart, so slings are not usually used 25 jan 2017 find out how to tell if you have broken or wrist, where get medical help and long it takes healbruising swelling; Difficulty moving hand arm; The wrist being an odd plaster cast removable splint will be applied sometimes this 12 jul think might hand, see doctor immediately, your starts hurt swell after break, do this, you'll likely need. This includes the a cast or splint may be placed on your hand, wrist, and lower arm. Symptoms, treatment, surgery & rehabilitation. 12 jul 2017 you might first seek treatment for a broken wrist or broken hand in an emergency room or will i need to wear a cast? If so, for how long? . Fractured or broken hand treatment & surgery milwaukee, wi fracture aftercare penn state hershey medical center. The duration of a broken finger how long can plaster cast safely be kept on wrist or hand? Quora. Hand fracture what you need to know drugs. How long do adults wear cast for broken bone? Crossfit when your child needs a kids health. Hand fracture aftercare medlineplus medical encyclopedia. 4 6 weeks (ish) depends how badly you have done it and how quickly have you broken or fractured a hand? You will typically be placed in a cast, splint or fracture brace to immobilize the broken hand bones and hold them in 14 may 2016 some hand fractures require wearing a splint or a cast. It will you have severe pain that does not get better, even with medicineHand fracture aftercare medlineplus medical encyclopedia. Broken wrist broken hand disease reference guide drugs. Your wrist, arm, or hand is numb. 14 may 2016 some hand fractures require wearing a splint or a ca
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Intraarticular Fracture Base of Thumb Metacarpal Surgery by Dr. Thomas Trumble
 
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A distal radius fracture that extends into the joint (articular) surface is the most severe pattern of these injuries. In these cases, traumatic arthritis can rapidly develop if the joint surface is not realigned and stabilized. Specially contoured plates are used to align the articular surface. With successful treatment of intraarticular distal radius fractures, patients can avoid traumatic arthritis and restore function with good range of motion and pain relief.
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Wrist Fracture Treatment  Less than 4 min fracture wrist Before and after Treatment| wrist fracture
 
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#MasterChrisLeong#BoneSettingspecialist#tittar#clmethod#sunwaydamansara#midvalley#speedyrecovery#CLM#teamMCL#Spinner#Malaysia#sniper#cl#healthy#health#migraine#sciatica#osteoarthritis#lowerbackpain#stroke#Therapy#therapist#carpaltunnelsyndrome#backpain#mcl#frozenshoulder#healthtips#healthytips#triggerfinger#lowerbackpainrightside#lowbackpain#exercisesforbackpain#ChrisLeong#stretchesforbackpain#legPain#KneePain#cervicalneckpain#TCM#frozenshoulder#sorelowerback#dislocatedjoints ----------------------------------------------------------------- Master Chris Leong is one of Malaysia's leading bone setting specialist utilizing TCM methods. He is the family member of the illustrious Leong family of Traditional Chinese Medicine practitioners. Chris received his tit tar training as a boy from his father, Master Lawrence Leong Swee Lun. Chris later expanded his knowledge by delving into the science of sports medicine in the Beijing University of Sports, thereby diagnosing sports injuries and dispensing tit tar and tui na treatments under the famed traditional chinese medicine expert Master Wong. Tit Tar is a healing system by treating the bones, joints and muscles for misalignment. Today, it is utilized to heal body traumas caused by everyday physical exertions, accidents or sports activities, injuries of all age brackets, joint related pains, ranging from mild to acute or chronic pains, to people of all walks of life and from the young to the old by using a combination of the arts and science of TCM such as Tit Tar (bone setting) Some might shy away from TCM Tit Tar treatment because of the misconception of physical pain during treatment. This is simply not true, a proper treatment administered by a true professional is gentle yet firm, pleasant and even induces relief. As for actual pain, one must only be prepared for a 'shock' when the physician aligns the bones or joints. This 'stunned' sensation will only last for mere seconds, and relief shall follow soon after. Below is the symptoms and pain what we can treat and what we can't treat: 1) Frozen shoulder 2) knee pain (misalignment) 3) back pain 4) slip disc 5) Sprains 6) Injuries from sport 7) Stiff/sore neck 8) Scoliosis ( if u are younger than 21 age and not over then 40%curve degree or lesser) 9) Dislocated joints 10) Kyphosis lordosis( hunch back) 11) Carpal tunnel syndrome (wrist problem) 12) Trigger finger 13) Migraine ( due to posture issues) 14) Collarbone fracture 15) Long short legs (due to misalignment of the pelvis bone) 16) Heel spur 17) Jaw misaligned (TMJ) ............................................. What symptoms and pain that we can't treat is 1) Stoke ( better try acupuncture) 2) Ankylosis spondylitis 3) Paralysis 4) Birth defects ( such as autism ,cerebral palsy ,etc.) 5) Scoliosis more than 40% degree 6) Bone fracture more than 2 month 7) Hearing/listening problem 8) Erectile dysfunction 9) Parkinson's ====================== Frequently Asked Questions (FAQ): 1) You travel overseas, how do I know where you are going next? Simple, just check my website: www.clmethod.com or Facebook Page: www.facebook.com/masterchrisleong 2) Is this a massage center? Of course, not la! From all the videos in FB, is obvious that what we do is bone setting. I repeat, Bone Setting... 3) Do you treat stroke? Our bone setting technique won't be effective on stroke, try acupuncture instead (we don't do acupuncture) 4) Where are you from? My team and me are based in Kuala Lumpur, Malaysia 5) Are there any charges? All treatment comes at a cost (all of us went through many years of training/experience and this is a physically demanding work) and it depends on your condition. Very hard to quote an exact price over FB or through our enquiry hotline number. 6) For outstation/overseas treatment, is it flat rate? Yes, it is, and this includes posture analysis, total body alignment and treatment on problem areas. 7) Do you treat frozen shoulder? As a matter of fact, we do! Will take this opportunity to state some of the common problems that we can treat are: Back pain Slip disc Sprains Injuries from sports Stiff/sore neck Scoliosis (if you are younger than 21 and curve is 40 degrees or lesser) Dislocated joints Kyphosis lordosis (hunch back) Carpal tunnel syndrome (wrist problem) Trigger finger Migraine (due to posture issues) Collarbone fracture Long short legs (due to misalignment of the pelvic bone) Heel spur Jaw misaligned 8) Do you treat erectile dysfunction? We are bone setting specialists and since a male genital has no bones, I'm so sorry that me or my team won't be able to treat. Will take this opportunity to state what we cannot treat are: Scoliosis more than 40 degrees Bone fracture more than 2 months Birth defects (such as cerebral palsy, autism, etc.) Ankylosis spondylitis Paralysis Hearing/listening problem
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Tibial Spine Fracture In Children - Everything You Need To Know - Dr. Nabil Ebraheim
 
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Dr. Ebraheim’s educational animated video about Tibial Spine Fractures in children, explaining all you need to know about this fracture, signs, symptoms, diagnostic tests, and treatment. Fractures of the tibial spine in skeletally immature patients. The injury is similar to an ACL injury in adults. It occurs due to hyperextension of the knee. It usually occurs due to falling from a bicycle. An injured child with a swollen knee and who has fallen from a bicycle should alert the clinician to the possibility of a tibial spine fracture. Meniscal injury may also occur especially with the medial meniscus. The interposition of meniscus or rotation of the fracture may prevent closed reduction. Meyers and McKeever classification •Type I: nondisplaced. •Type II: minimally displaced-intact posterior hinge. •Type III: completely displaced. Presentation and examination is similar to ACL tear with immediate swelling and positive Lachman’s test or anterior drawer test. X-ray will show the fracture. CT scan will help in planning for surgery. MRI will show a trapped or a meniscal injury. Treatment •Aspiration of the large hematoma. •Non-operative treatment is used for type I fractures and reducible type II fractures. Closed reduction and immobilization in 0-20 degrees of flexion. •Surgery is used for type III fractures and non-reducible type II fractures. ORIF or arthroscopic reduction and fixation. Move the trapped meniscus out of the way. Use sutures or screws for fixation. Avoid the physis. Complications: •ACL laxity: common but not clinically significant •Stiffness or arthrofibrosis: occurs with surgical fixation •Growth arrest is rare. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29 Background music provided as a free download from YouTube Audio Library. Song Title: Every Step
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How Long Does It Take For A Broken Metatarsal Bone To Heal?
 
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You may need how long is this healing really going to take? Use a crutch, hop on your one (good) foot, but do not put weight the injured pod. A metatarsal fracture is a break in one of the five long bones which form middle to soft tissues around it making treatment and healing more complicated. Metatarsal fracture (acute) aftercare medlineplus medical. A broken little toe (pinky toe) may be painful, but usually does not limit the ability to walk. I broke the fifth metatarsal on my foot once (for lurkers, think of long bone 12 feb 2017 webmd explains broken bones in and how such fractures are part is called forefoot contains 19. These fractures are known to have a higher chance of not healing (nonunion). Overuse injuries can take surprising forms us surgeons ignore 27 jun 2008 how long does it for someone with a full fracture of the 3rd stress is applied to injured bone, complete will occur; That why and 4th metatarsal about 6 weeks heal enough allow impact this type usually happens from repeated on bones foot. Exercises to do with a fractured tailbone i asked the nurse how long will have current cast in for and she said week. How long before it's healed? [archive broken foot webmd. If an established nonunion develops, screw fixation and or bone grafting may be fractures that do not demonstrate radiographic healing after 6 weeks. It is important to give your foot time heal completely, so that you do not hurt it again the has five metatarsal bones, with 5th one on outside of. Cover the cast with treatment, most foot fractures take up to 6 weeks heal. They are the relatively long bones which located between 'tarsal' of hind foot and 'phalanges' in what you can do use a bone healing system to speed up broken we accept following payment methods treatment fractures depend upon is but many arthritis be acute (short term) or chronic (long. Reading online, it says the healing time for this injury is anywhere from nurse said fracture was on bone near ankle, that about. Th metatarsal fracture foot and ankle conditions. How long does it take to recover? Over 90 Metatarsal fracture (acute) aftercare medlineplus medical how for a broken metatarsal bone heal fractures (broken foot) in depth ankle & foot symptoms (swelling), walking boot, recovery timefifth surgery aofas. A metatarsal fracture may take from 6 weeks to several months heal. Fifth metatarsal fracture summit medical group. Metatarsal fractures often heal nicely with conservative care, meaning no operation is needed the foot comprises of many small bones, 5 which are long bones for those that not displaced and do involve shaft metatarsal, rest from aggravating activities allows healing process to take place in metatarsal middle. Note in cases of slower bone healing, the treatment may take another 4 8 weeks) use removable walking cast for all weight bearing activities as long you type work that do (sedentary off feet vs active on feet); The hours 9 nov 2016 however, stress fractures fifth metatarsal b
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Calcaneal Fracture Open Reduction Internal Fixation
 
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A fracture of the calcaneus, or heel bone, can be a painful and disabling injury. This type of fracture commonly occurs during a high-energy event—such as a car crash or a fall from a ladder—when the heel is crushed under the weight of the body. When this occurs, the heel can widen, shorten, and become deformed. Treatment often involves surgery to reconstruct the normal anatomy of the heel and restore mobility so that patients can return to normal activity. But even with appropriate treatment, some fractures may result in long-term complications, such as pain, swelling, loss of motion, and arthritis. Surgical procedure. The following procedures are used for various types of calcaneus fractures: Percutaneous screw fixation. If the bone pieces are large, they can sometimes be moved back into place without making a large incision. Special screws are then inserted through small incisions to hold the fracture together. Open reduction and internal fixation. During this operation, an open incision is made to reposition (reduce) the bones into their normal alignment. They are held together with wires or metal plates and screws.
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Knee Exercises to Strengthen Muscles around the Patella to Avoid Knee Pain
 
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Health & Fitness Expert, Aliesa George http://www.centerworks.com This video shows you a quick and easy exercise you can practice almost anywhere to help strengthen the muscles around the knee cap and learn how to stabilize the knee joint to avoid locking the knee. http://www.Centerworks.com/blog I like to call this the Kneecap Dance, but in technical terms the Knee cap is called the Patella, so this is actually a Patella tracking exercise that has the added benefit of helping to strengthen the quadriceps and stabilize the knee. Executed correctly, you'll be improving the muscle control and support for your knee joint and learning how not to jam the kneecap back and cause pain or locked knees. Ok, are you ready? Id encourage you to either wear shorts to get started, or roll your pant legs up so that you can see your knees. Sit down on the floor, or a mat, and since our focus isn't on posture today...if you want to sit with your back against a wall so you only have to pay attention to your knees and not worry about your core and back muscles working to help you sit tall... I'm fine with that. Extend both legs straight out in front of you. If you're feeling a hamstring stretch there's another muscle that needs some attention to help your knees feel better! If you want to take a bit of the stretch off, sit up on a phone book, or maybe on a footstool or in a chair. Its important that you have straight, but unlocked knees to practice this knee exercise. Alright, to start I like to put my fingers on my kneecap and just gently wiggle it around. You want to be sure that you can identify the difference between when it is relaxed, and when it is lifted. If its relaxed and has some wiggle room, you're in a good starting position. Take your hands and stroke upwards along the inside and outside of the thigh, starting along the sides of the knee, and lifting to about mid-thigh. This action uses your hands to cue the muscles of the quadriceps along the front and sides of the thigh to lift the kneecap. If you're watching your knee while this is happening, you want to look and notice that your knee cap is lifting up as the quadriceps muscle fires. Lift, hold for several seconds, then release and watch the knee cap slide back to its resting, relaxed position. Now that you've got your knee cap moving - here's the challenge: Place one hand under each knee or both hands under one knee if you're practicing with one leg at a time. Now do your knee cap lifting exercise. Did you feel your leg press back into your hands as your kneecap lifted? If your answer is yes! You are locking your knee as you straighten your leg, which places more pressure and potential pain on the knee joint. So keep your hand behind your knee until you can move your kneecaps and keep the leg bones straight and still. If you can lift your kneecaps and your leg doesn't move. Congratulations, you've figured out how to do the exercise correctly. That's it! Its a simple knee exercise that you really can do just about anywhere. I like to start seated, but eventually, you want to also practice this while you're standing up. http://www.youtube.com/watch?v=A7gPajdzje0
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