Beyond pills, patches, and exercises…

 

 

Following 3 general contractors repairing a crack in my drywall I was informed that it would continue to happen because the problem was with the foundation of my house.  If I did not have the problem addressed I could then expect to experience water infiltration with subsequent water damage as well as continued structural and cosmetic damage.

Following 3 mechanics replacing missing oil in my vehicle I was informed that I would continue to have to fill the oil reservoir because the problem was not with the oil.

Following 3 Medical Professionals recommendation for prescribed pain medicine I was informed that I would continue to have a pain problem because the problem was not a lack of prescribed pain medicine, yet the treatment approach did not change.

Following 3 General Practitioners prescribing insulin to address my diabetes I was informed that I would continue to have a diabetes problem because the problem was not a lack of prescribed medicine, yet the treatment approach did not change.

Following 3 Medical Professionals treating Fibromyalgia, Rheumatoid Arthritis, Irritable Bowel Syndrome, Chronic Pain, Degenerative joint, Degenerative disc, Idiopathic Systemic illness…

How many examples could I think of?  The point of the post is to encourage the inquiry as to WHY.  As best stated by Dr. Sosman, 

“You see only what you look for; you recognize only what you know”

If your experience has been similar to the facetious examples above then I would encourage you to seek answers and other individuals with answers.  All professionals can be nice, helpful, and trustworthy but sometimes ineffective in treating the compensation rather than the cause.  Follow the breadcrumb trail of people with the same problem who are getting results.

(soapbox done) 🙂

 

Bone not healing? Is it receiving the correct stimulus?

I recently had the privilege to work with an individual who had suffered an ankle injury.  As a result of this injury the Fibula had suffered a fracture and was not healing.  Upon inquiry as to why, they were perplexed and stated they had not received any good answers as to why.  Here is another thought…

Bone growth is stimulated by weight bearing.  Each bone is designed to resist forces specific to the area in which the bone lives.

 

For example the tibia has great compressive strength but less strength when challenged with a lateral force.

 

So if I wanted to ‘break’ a tibia I would not load it from the top down or bottom up.  To ‘break’ a tibia I would load it from side to side.

Likewise a Fibula is designed to absorb and transfer stresses from top down and bottom up.  My question then becomes what is creating rotatory or side-bending forces in the Fibula.

As a result of the ankle injury the ankle had

Image result for calf stretch

become stiff and unable to bend (dorsiflex).

 

When this person would walk and the involved foot traveled behind them the foot would turn out.  This turning out of the foot was introducing excessive side-to-side and rotatory forces to the Fibula essentially ‘gaping’ the wound.

In theory, upon restoring the ankle mobility (talocrural, subtalar), and normalizing gait, the correct compressive forces at the fibula will help to provide the correct ‘weight bearing’ stimulus for the bone to heal while limiting the shear forces introduced by compensations from a stiff ankle.  Just something to ponder.