Gtgt I started running when I was in about 7th grade. I ran middle school track. I love running. I run to relieve stress, take time for myself, and think. It’s great to run around Drexel. In my freshman year of high school, my first cross country season, I started having hip pain. It would usually occur in the middle of a race or in the middle of a run. It would basically feel like someone was stabbing me in the hip and then it would last for hours afterwards. I went to an adult sports medicine physician. They basically told me that I would need to.
Have hip replacement by the time I was 35. You’re going to have to deal with this, so you’re going to have to deal with the hip pain and if want to run, this is what you’re going to have to deal with or you can stop. That really wasn’t something that I wanted for myself, especially because I love to run and I am so active. The first time that I heard about an alternative to getting a hip replacement or multiple hip replacements throughout my life was when I went to The Children’s Hospital of Philadelphia.
And talked to Dr. Sankar. gtgt Hip preservation, as its name implies, is the goal of trying to preserve the body’s own hip joint. A hip replacement is essentially a metal in plastic hip. It’s an artificial hip joint where you’re taking out the parts that you were born with and you’re putting in artificial ones. So, if you’ve been told that your hip pain is unsolvable and you should live with it until you end up getting a hip replacement, I would tell you that you’ve got to look at.
This further. The Young Adult Hip Preservation Program is a program geared toward patients in their late teens, 20s, and 30s. They may not think to come to the Children’s Hospital, but really this is where we have the expertise and the knowhow to be able to treat those problems. I think it can be funny sometimes for an adult to come to a children’s hospital, but I think Children’s Hospital and Children’s Hospital nurses, Children’s Hospital staff, we love taking care of patients. We love getting people better. That feeling is no different if you’re.
10 years old or if you’re 25 years old, or if you’re 35 years old. The reality is, is that we have all the support that we need to take really good care of patients. I think what makes CHOP so different is the quality of the people. I think we have amazing nurses and nurse practitioners. We have great physical therapists, brilliant radiologists. gtgt We have one of the largest volumes of pediatric orthopedic MRI in the country and in the world. gtgt Imaging specifically for the hip has become incredibly complex and has advanced in incredible.
Ways over the last few years. We have very specific protocols now from an MRI standpoint to look at cartilage mapping, to look at the shape of the hip in three dimensional formats to understand the rotation of the bones. There’s so many different aspects to getting good imaging about the hip that it’s just absolutely crucial that you do this at a facility that understands the entire disease process and is able to tailor the imaging modalities appropriately. There’s obviously a wide variety of hip problems that can occur in this age group, but some.
Of them absolutely are the manifestation of pediatric hip diseases that somebody might have had when they were a youngster or a teenager, and it only kind of becomes symptomatic when they’re in their 20s or 30s. FAI stands for femoroacetabular impingement. That’s a condition where there’s a shape mismatch between the femoral head or the ball and the acetabulum, which is a socket. There creates a situation where when the hip comes into certain positions like flexed up or rotated in, that the two strike each other and can create a syndrome of pain and potentially.
Damage inside the joint. Acetabular dysplasia is a shallow hip socket. That’s kind of a characteristic condition that occurs in women. Stephanie first saw me because of hip pain. She now was no longer able to run at all and she was starting to have pain that extended into her daily life, so just going up stairs, just walking her college campus, which she needed to do. We talked a lot about her diagnosis, which for her specifically was acetabular dysplasia. There are all different forms of surgery that may be needed depending on the patient’s particular.
Disease. She needed to have a periacetabular osteotomy to reposition her shallow hip socket. A PAO is a periacetabular osteotomy, which stands for around the hip socket and osteotomy means bone cut. So all a PAO means is that you’re making an osteotomy or a bone cut around the shallow hip socket, which then allows you to move the hip socket wherever you need to, to reposition the hip into a much better physiologic position for that patient. Some of the surgeries are very complicated and they require very specific expertise.
More involved procedures like a periacetabular osteotomy might be a sixmonth recovery period before patients are back to sports, running, and vigorous activities with a few months of needing crutches before that. gtgt After working really hard in physical therapy I was able to start gradually running. The same year I had surgery I was training for the Broad Street Run, a 10mile race in Philadelphia. It was the hardest thing I’ve ever done, getting myself from not being able to walk to being able to run 10 miles well. But then to cross that finish line and stop.
Running and not be in pain is the most amazing feeling. I can’t say enough good things about CHOP from the nurses to the receptionists, to physical therapy, to Dr. Sankar, to everybody involved in the surgery and there’s a huge team. It was amazing. gtgt Seeing Stephanie being active is the best feeling as a physician. It’s really what you wake up for in the morning when you come to work. You just want to make people better. You want to see that they are doing all the things that they want to do. It’s the best.
Stryker Hip Implant Lawsuit Update
If you have a stryker hip implant you need to know that Stryker is now settling its hip recall claims. Warning the registration deadline is December 14, 2014. Call the Law Offices of Lisa Douglas now for your free case evaluation. Stryker Hip Recall Lisa Douglas is an attorney and Licensed Registered Nurse. If you don’t know what type of hip implant you have, let Lisa help call now before your time runs out. Stryker Hip Recall Find out what your rights are for free. Call 5017980004 Now for a free consult with a nurse Attorney. Stryker.
Sciatica Leg Pain Relief
Rtf1ansiansicpg1252deff0deflang2057fonttblf0fnilfcharset0 Arialf1fnilfcharset0 Calibri generator Msftedit 188.8.131.529viewkind4uc1pardsa200sl276slmult1qjlang9fs36 Hi, I’m Paula Moore The Chiropractor and I’m going to show you a sciatica leg pain relief exercise. It should be know that the majority of people who come to see me as patients who have been diagnosed with sciatica, don’t have true sciatica. They do have leg pain that is mimicking sciatica. In other words, it is running through the buttocks and down the thight, right down to the ankle but it stems from a different place. It’s not the sciatic nerve. It is from a tight muscle in the buttocks,.
Known as the piriformis muscle. It clamps down over the sciatic nerve giving you sciaticlike symtoms. par You chiropractor can tell the difference between these two. True sciatica and a piriformis muscle problem. I’m going to show you a stretch to get rid of the piriformis muscle problem and the resultant leg pain. If you do this stretch and notice your leg pain starting to decrease, you probably didn’t have true sciatica and that’s great, because sciatica is harder to treat. par So you want to sit fairly close to the wall and swing your legs up so your heels touch.
The wall. If you leg pain is on the left, then take your left ankle and place it over your left knee. Now some of you might find that this position is already very difficult to get into because your piriformis muscle has become very tight. If you want to increase the stretch, shuffle up closer to the wall with your buttocks. If you want to deepen the stretch yet again, slide your right foot down the wall so that your knee is bent. You can increase the stretch by gently bringing the left knee toward your opposite shoulder. That is the.
Bloodless Medicine Program Hip Surgery Ask Dr. Mark Zawadsky 1 of 2
How did the Bloodless Medicine Program at Georgetown University Hospital come about I am Mark Zawdsky and I am an orthopedic surgeon here in Georgetown and I am also a Medical Director of the Bloodless Surgery Medicine Program. During surgery itself we have anesthetic techniques where we can lower blood pressure so you lose less blood by doing regional anesthesia. It tends to create less blood pressure in the limb so you lose less blood that way. There is a technique called normovolemic hemodilution where we can collect some blood from the patient at the beginning of the procedure and then towards the end of.
The procedure we could give that blood back and that is a way of lowering the need for a transfusions. There are different medicines that we can use that help create blood clot and lower bleeding in the surgical wound itself and there are different technologies where we collect the blood during surgery called cell saver technology that when blood is lost in the abdomen for instance you can use the suction device to run that through a filter and then that gets reinfused directly into the patient’s vein on the arm so with the blood that is lost it.
Stays connected to the patient and goes back in through the patient’s arm. I think one of the appealing aspects of working here at Georgetown is the wide range of patient populations that we treat. It is not just the local Washington D.C. community but it is patients who come from hours and hours away to get care here and part of that is because we are willing to take on complex challenges both in joint replacements as well as in our bloodless surgery program where many places wouldn’t approach that and feels oh, you know it’s too hard to reach out to a community where.
There are real medical limitations in terms of what you can do. And I think it is nice that Georgetown is embracing that approach that we are willing to take on the hard challenges and I think we find in that when you take on difficult patients and difficult patient populations with complex problems that it is good medicine that basically we are able to practice the cutting edge of medicine and in a very patient friendly manner. You are using a new technique for hip replacement that is easier on the patient.
What is it The approach to the hip is from the front of the hip. Most hips are usually replaced from either the side or coming though the back of your hip through the muscles, the larger muscles in the back side of your hip and that works very well. It has been the traditional approaches that we have used for 40 or 50 years. The one issue with that is that we have to cut some muscles and tendons in order to have access into the joint to do the.
Actual surgery and it is necessary to repair those back to bone and it takes about 6 weeks roughly for that to heal so we have to be a little cautious after surgery restricting how much you bend the hip, how much you flex the hip and it slows down the recovery somewhat and that is including minimally invasive surgery through the side and through the back that has sped up the whole process. What we have found is there is another approach to the hip where you can go in.
From the front of the hip where you don’t have to cut any muscles you can just separate them to the side and stretch them and pull them out of the way that allows you not to detach the muscles and it is the true muscle sparing approach to the hip and we found that the recovery is much quicker with that, that patients are more comfortable. They have less pain. They are able to walk more comfortably and in earlier pace after surgery and the overall process seems to be much quicker.
In terms of the ability to get back and be functional and importantly since we are not cutting muscles, we are not waiting for the tissue to heal and therefore we don’t have to have the same types of restrictions that we do meaning that you are allowed to bend your legs pretty much however you are comfortable and if you got in and out of the chair as in you can walk more comfortably so it is a pretty significant improvement for most patients. Does this new technique for hip.
Replacement allow me to have both hips replaced at the same time, meaning one operation instead of two It is actually a bit of an advantage since when we do it from the front with the anterior approach the patient is lying on their back and as opposed to being put up on their side so we have done several cases where we have done both hips at the same time and you do one and then can simply you know move to the other side of the table and do the other hip and most.
Patients who have arthritis in both hips you know are very painful and when you do the replacement they recover pretty rapidly. What are your patients telling you about this new approach to hip replacement surgery It has been markedly improved I have had patients that have left on the one patient left on the day after surgery several patients two days after surgery because they were doing well enough that they can go home and they had little pain. Another big advantage that we have seen is for people who are working that they.
Are able to get back to work very quickly. I had one patient who actually went back to work a little bit short of a week after surgery which is not recommended but he was anxious and driven and was able to safely you know get back to work since he wasn’t having that much pain. How did the Bloodless Medicine Program at Georgetown University Hospital come about We have established a Bloodless Medicine Program here at Georgetown primarily after having discussions with the Jehovah’s Witness Community that has a large.
Population here in D.C area and they have had difficulty in obtaining services from many places because their religious belief in avoiding or refusing blood transfusions and that raises issues with surgical treatments and different medical treatments when you don’t have the ability to transfuse a patient and many physicians and medical centers hesitate to take on the higher risk that that can entail that we had had discussions over a period of time and with the witness community in their hospital leadership counsel and we were able to develop the concept of an organized program here at Georgetown.
What is bloodless medicine The purpose of it is to try to reduce and as best as we can eliminate the routine use of transfusions in surgical procedures in medicine and over the past 10 to 15 years there have been several studies that have shown the different benchmarks that we have been using for transfusions it might have been too high that when we compare it to transfusing in a lower blood level allowing the patient to live to recover at a lower level they tended actually have fewer complications.
And there is actually a benefit in medical benefit in terms of not transfusing patients as liberally as we had in the past. How do you practice bloodless medicine with surgery, preparation for surgery and anesthesia There is basically three ways that we, three approaches that we have to bloodless medicine as a program and that is prior to the procedure or surgery that try to optimize patients and if they are anemic meaning that their blood counts are low. They’re different medications we can give to raise that and we can give iron.
Supplementation and try to get the blood level to the highest level that we can before we start and then with surgical technique we try to be as precise as we can and limit blood loss during surgery and there is different types of anesthetic techniques that we can lower blood pressure so patients bleed less if we simply keep surgical patients warm with warming blankets during the surgery they tend to bleed less as well. And a lot of these are different techniques that we use on most patients but when you really focus on it, it.
Is just good medicine and we were able to reduce the blood loss during procedure or during surgery. What techniques do you use after surgery to reduce blood loss After surgery and the recovery period, again we could use medications to try to raise blood levels and avoid again simple things such as avoiding multiple blood draws where we have patients that two and three times a day it seems we are doing laboratory test and each time you take blood samples your it is important to check you know laboratory results and sometimes it is needed but we probably.
Overdo it at times and again it is a focus on reducing and really paying attention to how much blood the patient is losing and how much blood we’re taking from the patient and with the goal of avoiding or you know certainly at least reducing the use of blood transfusions. Can all patients benefit from the practice of bloodless medicine That is part of what is driving this is that when the studies have shown that for most patients not just patients who for either religious or personal beliefs would like to avoid a blood transfusion that all.
Patients would seem to benefit by lowering the benchmark that we would use for a needed transfusion meaning that if we can avoid blood transfusions we tend to, patients tend to do better so all patients benefit from that. Should I be concerned about receiving a blood transfusion There is risk from the transfusion itself. The blood supply has become much safer and today it is probably as safe as it has ever been but there are risk of viral and disease transmission. It is relatively minimal but it is still.
Not zero so there is some risk from that. The other risk is that you can have from the blood itself is you can have a transfusion reaction and that could be minor meaning that you get a fever or have a bit of a you know sweats or shakes that type of thing that is you know more of a nuisance for the patient but not life threatening in any way or can be more significant. What types of surgery typically require a patient to receive a blood transfusion Many orthopedic surgeries require transfusion because we are working in bone.
We are working muscle tissue and that tends to bleed and ooze or again even when you are precise you do lose some blood during these procedures so that is something that has been you know we know that we have to deal with at times and with the patients who will not accept any type of transfusion that is a challenge and that we have been trying to deal with. What surgeries beside orthopedic typically require a blood transfusion In addition to orthopedic type surgeries many of the abdominal type surgeries where there is bowel resections and for colon.
Cancer and different procedures like that can lose a fair amount of blood and again the same types of techniques that we are talking about for orthopedic surgeries can be applied to those types of procedures and additionally transplant surgery often it can require blood transfusions to do to be done safely at this point although with these various techniques we are finding that we can sort of push the limits further and further and do procedures safely that is really what it comes down to was trying to look at whether we can do a certain type of procedure safely without.
Transfusing blood. Some of the neuro surgery procedures can lose a fair amount of blood it is on the carotid artery type surgeries where there is blockages and they open up the artery and to get the blood flow again that could lose a fair amount of blood so a number of these procedures you know across the board have issues with blood loss. How does the bloodless medicine program at GUH work One of the purposes of this program is that we have an office where we have a nurse who is specifically whose job full time is working on the program.
We have a coordinator who is a witness patient himself that we have their ability prior to surgery to identify patients and it gives us more of an opportunity to optimize their medical condition and their blood levels before we are getting right to surgery. What technologies and procedures do you use to practice bloodless medicine Many of these procedures really take a slightly different approach if you know that you are not going to be able to use a transfusion and there are different blood collection devices such as it is called.
The self saver that during the surgery you can collect the blood from the wound. It goes through a filter and then gets reinfused to the patient during the surgery so you lose less blood that way and again we would be more likely to implement some of the lower blood pressure type anesthesia techniques. There is a hemodilution technique that we can use so there are a number of things that we have that might aren’t necessarily needed for every case that we do but in these types of situations where we know that we have to we don’t have the ability.
Hip Bursitis 3D Tutorial Watch How it is Caused, Know Its Treatment, PT, Symptoms
The bursae that surround the joint of the hip include Trochanteric Bursa, Gluteus Medius Bursa movies media server I’ll Helio sold person this feel her home however among all the birthing bemoan commonly that one in role conquering for the Honduran Burnside in for him Burnside very frequent among runners for athletes participate running oriented board that a preponderant her side for him group I don’t causes include traumatic for cited over you in hearings over nation on week the time own for a signed symptoms are he is it your news honor side the.
All so on pressing him the he while performing empty rooms like I’m do getting out of the car and running may also spread down me out and I don’t know yeah uh conducted harm a I’ll frown him and spray MRI and courtroom treatment orkut pontoon Burnside for him for fighting home therapy for reducing pain the antiinflammatory medications such is not broken the hell up right on are you a a fine needle aspiration very soon to remove after mood be affected regions the corticosteroid injections where the medication.
Sciatic Nerve Pain Stretches Exercises Ask Doctor Jo
Hey y’all, it’s Doctor Jo and my assistant with me today is Bailey again. And today I’m going to be talking about your piriformis. So lots of times I hear people say they’ve got that sciatic nerve, well actually everybody has a sciatic nerve, but you can have pain coming from that nerve, and a lot of times that piriformis muscle is causing the pain. So we’re gonna show you some stretches to stretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alright let’s go on to our backs. Here we go. I think.
We’re gonna maybe move Bailey out of the way. In the first stretch for your piriformis is a pretty simple one. A lot of pictures you may get from your therapist will actually show one leg down, I actually like for you to have it staying up so you can prop your foot over it. So your gonna make almost like a figure 4 with your legs and then what you’re gonna do, the side that’s hurting, so my left side is hurting, I’m gonna cross that leg over. And what I’m gonna do is I’m gonna bring my knee with my opposite hand towards my shoulder.
Over here. So I’m pulling this leg up and across my body. And what you wanna do same kind of thing with all the stretches, you wanna pull and you wanna feel a stretch under there. Soon as you feel a really good stretch you wanna hold it for 30 seconds. So remember up and across the body. Just coming up is not gonna get that piriformis stretch. But coming up and across the body like I’m trying to bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds. And then coming back down and you wanna do.
That 3 times. Now the next one to do, sometimes this is a little harder for people, but what your gonna do is your gonna keep that same figure 4, and what your gonna do is your gonna take your hands and on the opposite side that it’s hurting, so the hurting side is still up crossed over it’s still my left side. I’m gonna take my hands and put them underneath my thigh, and I’m gonna bring my leg up, and I’m gonna pull until I feel that stretch underneath.
There. Now some people might have a hard time grabbing on to their leg here, so again you can use your belt, or your dog leash and put it under, around your leg, and pull up towards you like this. Same kind of thing, you want to hold that stretch for 30 secondsbye Bailey, we’ll see you later and then 3 times each. Alright, so now you’re gonna bring that down getting it nice and stretched. For those of you that need a stronger stretch, those might not be stretching it out quite as much, what I’m gonna have you do is I’m gonna have you.
Turn over. And what your gonna do is the side that’s hurt again, my left side, I’m gonna bring my leg up across. Now as you can see, this is something you have to be pretty high level, pretty flexible to do, but it’s gonna get a fantastic stretch. So your gonna put your knee over across your body, and bring your body down. So it’s almost that same concept, you’re bringing that knee towards the opposite shoulder, but what you’re doing now, is you’re using your body weight to bring it down. You can stretch that back leg as far as you can.
You can bring your arms down, but that knee is essentially going towards that opposite shoulder. 30 second stretch, 3 times each. Alright and there you have it. Those were your piriformis stretches. So if you had some pressure on that sciatic nerve, hopefully that will loosen it up a little bit. So if you like my hair, or if you like the stretches, please click like and leave me a comment. And if you’d like to see some more stretch tutorials, or if you’d like to go see some educational tutorials, please go to AskDoctorJo. And.
Back Massage Therapy How to for Sciatica Pain Relief Treatment, CranioSacral Techniques
Greetings again! This is Athena Jezik. We’re gonna work on some more tutorials and explain some things out. Sciatica seems to be a problem that many many people suffer from so i thought i would go through a little bit more sciatica work and explanation on how i deal with sciatica. There’s many different techniques that people have but for me this has been the most effective and i’m also learning that there’s different types of things that come from that area. Sciatica usually is pain coming from about here. When it’s real bad it will run down the leg. It’s a.
Nerve pain so it runs as though it’s a like a hot iron or a hot rod going down the leg. Very uncomfortable. Sometimes there’s pain though in other parts of the hip which isn’t really the classic sciatica but it does still involve things similar because there’s so many nerves that come out of this sacral area. So that’s another thing that i’ve been discovering. So not everything that happens with the pain and going down the leg is maybe the classic sciatica but it doesn’t matter because in my opinion naming a lot of things doesn’t really do anything except for.
Make it a disease and then a disease is only by law treatable by the western medical people. So that’s just names and labels. The thing is we want to get people out of pain. We want to move them into a space of being able to function well. So in that pain area of the hip impinging nerves and creating bad sensation or pain down the leg we’ll call that the sciatica pain and of course it comes from here and I find that it is always got a direct connection to the positioning of the sacrum.
That also has a direct connection to the position of the sphenoid bone at the occipital base and I’m gonna show you a little bit of this. I’ll just show it to you now. Excuse me it’s early in the morning and I’m kind of foggy today. So the sacrum is sitting here and in that sacral bone there is a lot of nerves that come out from here. These little holes are where they come out of so if that is position a little bit crooked on there, which happens quite a.
Bit then we’re gonna have this pressure. The nerves are not going to be coming out with the proper alignment and the nerves are gonna have pressure on them when they are twisted a little bit. sometimes this bone can be in a position that’s a little more like this or it can also be an a combination of that particular pattern so it’s important to be able to allow this bone to be able to lengthen down. This is something better done if the body can do it itself. If it’s forced into it, it doesn’t always mean that it’s going to hold.
Because there’s a bunch of stuff underneath there. The network of the facial structure, the membranes under that that will twist like a nylon stocking and so if it’s forced back it will go back but because of the underlying structures there it will pull it back into that odd position. This is translating up into the head and because I’m a cranial sacral therapist and I’ve been doing it for so many years I have a lot of understanding how these connections are made. So right in there where the.
Purple and the yellow come together is the sphenobasilar junction. The sphenoid bone is the yellow bone right here and so that bone touches all the other bones and it does relate directly to the sacrum at this joint. So if this sacral structure is sideways, crooked on there, that’s going to be placed and it’s going to be like so The same thing is gonna happen at at the head. This sphenoid bone is going to be out in a similar manner because it’s a counterbalance for what’s going on with the body. So it keeps.
Things balanced so that we feel somewhat straight. So that’s areas that I look for in work around low back pain particularly down in the sacral area. I do not like to do the hard pushing with the elbow. For one thing You can get through muscles that way but your elbows are not very sensitive as to what you’re really doing and what structures you’re on and i have found that when i’ve tried to work elbows even forearms the bones and the bony surfaces. it’s just too rough. I don’t feel good about it. It.
Doesn’t feel productive so I don’t use that method. Also sometimes when the nerve is affected there’s inflammation. So in my opinion the way that I see things is by driving yourself into that nerve, through those muscles with a bunch of inflammation going on is not really going to help the problem. So there’s little things like that that I pay attention to that I don’t know if many other people take a lot of that into account because we do get sort of a technique to loosen things up and.
It doesn’t always provide for us the thoughts of what’s happening at the subtle anatomy level. So I test this just by checking at the occipital base and at the sacrum to see the position of everything and once the position is established then I can go in and work with the sacrum in order to correct it. Sometimes this will be corrected quickly and sometimes it’s not corrected as quickly and I believe that a lot of that is because it’s maybe not a true quote sciatica but there’s other stuff going on maybe in the hip joint.
There might be some kind of misalignment in the pubic arch. There might be some kind of a rotation in the hip as well so other things have to happen. So here I’m just giving a little drag on the sacrum and letting it loosen up and letting it swim around and my other hand is at the occipital base. Just steadying the dural tube. And so there I just wait a little while and then I will soften the muscle area around there. I work really differently. It just kind of depends.
So much of my work is intuitive. There’s somewhat of a protocol that I follow but each person presents things differently. No two bodies are ever the same. No injury patterns are ever the same. So flexibility is important to be able to move from various techniques and not follow things too rigidly particularly in pain problems and issues Then the other thing that i will do is to get my finger at the base of the sacrum. Excuse me, at L5 S1, which is right in this area here L5 S1.
So try to put some distance between there because that’s where the jamming probably tends to be. Sometimes it’s at the coccyx. And I’ll show you that technique as well. So with that you just do a little stretching integrating in with the muscles integrating in with the tissues and then just waiting for it to move. This is going face down. There is a better way to do the sacral pull when they are on their back but this way will also open it up. Either way is fine and my other hand up here is also feeling some rotation and.
Some movement coming up the spine. So as one area of the spine is off every little vertebrae is affected to some degree. There’s a little bit of adjustment that they have to make in order to keep the misalignment aligned and the bodies just gonna do that it’s gonna work within the framework that it has and it’s gonna normalize whether a pattern is there. And so there now we’re getting it softened and now there’s a little bit of a stretch happening. I’m stretching downward with the hand that’s on the L5 S1.
And I am taking a little bit of a stretch upward. Just a little traction. No deeper than the fascial level. So we have skin, fluid, then fascia. So I’m three layers down and giving a little stretch there and i’m feeling quite a bit of rumbling going on and there is a separation happening between L5 S1 And it just swims around and the sacrum is trying right now to find its way back to the proper position. It’s a good idea, if you know cranial work to also balance it at the spenoid.
Level because the sphenoid bone, if not corrected, can pull this thing out. Sometimes this will correct the sphenoid bone but it’s a good idea to check both. She just had a couple pulses. There’s a lot of activity going on. Even though she’s not suffering from sciatica or any kind of hip serious pain problems there’s still a lot of activity going on, which is correcting little misalignments in there, which is a reason that we should be paying attention to maintenance. Even though we’re not hurting, we might wanna have.
Some kind of session just for tweaking. I see a number of people who come in regularly every four to six weeks just to be tweaked with cranial work And I myself have an hour and a half session with somebody once a month. And I love it when I get it. It took me a while to find somebody that I felt was at my capacity. Okay and then the other position is just to lay the hand on the sacrum here and curl the fingers at L5 S1 and give a little bit of traction this way.
This is a little tricky because you have to keep the palm of the hand pretty secure and the fingers have to bend so there’s quite a lot of technique in the hands in order to get the right feeling. And the hands have to work independently because I’m right at the sacral coccyx junction and I’m stretching downward on that while I’m allowing the movement, which is a little bit of a swaying motion at L5 S1. There’s a downward traction as well as this being loose to be able to align.
At the same time it’s being tractioned downward. Okay and there’s some movement happening. These techniques will usually give quite a bit of change to the pain. It doesn’t mean that one time is going to give total remedy to the problem but it does begin to correct that space. Once that’s corrected then we can go in and also work into the muscles, much deeper into the musculature. And the only reason i work into the musculature is to loosen the muscles so that they’re not sinching down around those nerves.
Because if they are sinching around those nerves then they are not gonna let go really easy even though the alignment happens so i just worked really deeply into these glutial muscles for the purpose of the muscle again, not the purpose of the nerve. And I’m careful if I go into the area where the sciatic is the main place where you can feel it. I do not go into that with a lot of deep pressure because again I don’t like going into the inflamed areas and I don’t like going into pain.
With a lot of pressure. I don’t think in my work it gives me the better results. Okay and then up front and there is many areas of the hip to take and loosen. And along the ridge of the hip as well coming from the sacrum. Working all that. And of course both sides are benefited. I won’t do too much on this side. Both sides have benefited by that. You can even go into the attachments of the hamstrings. In fact it’s a good idea to make sure that the.
Quadriceps and hamstrings are well stretched. With this there’s also some stretches that can be done with the leg, but I will show that at another time So basically what i do is corrected the position of the sacrum to alleviate the pain of the sciatic pain or hip pain. Thank you very much! This is Athena Jezik. Please subscribe to our channel and you should also visit our new website because we have over 1300 tutorials on our channel I know it can be a little difficult to navigate and find the tutorials that you want to see but if you visit us at.
Hip Exercises Before Your Joint Replacement Surgery
Hello, my name is Megan McCormick a physical therapist from BarnesJewish Hospital. Today I will go through your required exercises needed before and after your hip replacement surgery. Having the best strength for your new joint begins now. I encourage you to pause the tutorial when needed and practice each exercise individually. In addition, please remember to consult your physician before starting this exercise program. Today we have one of our former patients who will demonstrate the exercises. Hello, my name is Chris Simons. I am 48 years old currently I am 26 weeks postsurgery and credit my successful recovery.
To not only the care I received from my Washington University orthopedic physician, but the vigorous rehab schedule that I followed. Do each exercise 10 times, twice a day. If any exercise is painful, don’t do it. Exercise may be hard, but it should not be painful. We will now be demonstrating chair pushups. Sit on the edge of a firm, solid chair that has sturdy armrests. Extend your legs so that there is a slight bend in your outstretched legs. Place your hands on armrests so that there is bend in your elbows. Slowly lift your bottom from the seat using.
Only your arms while straightening your elbows and pushing the shoulders down. Do not stand up. Only lift your bottom from the seat. Slowly lower yourself back down to the starting position. We will now demonstrate bridging or a buttock raise. Lie on your back with both knees bent and feet flat on the surface. Gently squeeze your buttocks together and lift your buttocks off the surface. Hold for 5 seconds then slowly lower to the starting position. Please note that hamstring cramps can occur if done incorrectly. We will now be demonstrating standing hip extension or leg back kicks.
Stand so the front of your body is facing the back of a chair. Hold onto the chair to steady you. Keep your upper body and pelvis still. Gently move your surgical leg backward. Do not bend at the waist or lean sideways. Remember to do 10 repetitions of each exercise two times a day. We will now be demonstrating hip abduction or leg side kicks. Stand with your surgical leg away from the back of the chair. Hold onto the chair to steady you. Keep your upper body and pelvis still.
Gently move your surgical leg out to the side. Do not bend at your waist or lean sideways. Remember to do each exercise 10 repetitions two times a day. BarnesJewish Hospital and Washington University Physicians are your partners in your journey to lead you back to a healthier lifestyle with your new joint. If at any time you have questions, please visit BarnesJewish or contact your orthopedic surgeon’s office. In addition, I want to thank Mr. Simons for helping us demonstrate these exercises. Thank you and remember having the best strength for your new joint begins before your surgery.