Hello, I'm Agatha
Thrash, a staff physician
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at Uchee Pines Institute.
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This is a place where
we train students to teach
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anywhere in the world how
to take care of a lot of the
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physical problems that people
have in the home with just
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ordinary things that people
have available in their homes.
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Skeletal injuries are some
of those and we'll be talking
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about skeletal injuries
during the next half an hour.
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We hope you will be able to
join us, and that you will get a
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blessing from what we teach you.
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Welcome to "Help
Yourself to Health"
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with Dr. Agatha Thrash
of Uchee Pines Institute
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And now, here's
your host, Dr. Thrash
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I've never had a
serious skeletal injury
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...although I've been
very active all of my life.
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I have been able to
help other people, however,
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who do have skeletal
problems, to get relief of pain
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and to have the opportunity
to see themselves healed
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by just the most
simple things that one can do.
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Now these kinds of
things, skeletal problems,
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fall in the realm of physiatry.
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And a t Uchee Pines, we have
a physiatrist on our staff...
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and that's Dr. Winn Horsley.
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And I've asked him to
join me today so that we can
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talk with you about some
of the very simple things
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that you can do in the
home to relieve skeletal pain.
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So we have some of
our other helpers here...
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One is Shannon Jenkins,
just come right on here and
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you're going to show us...
or we're going to show on you
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how to take care of
the hip... hip pain.
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Yes, now usually this
wouldn't be in a young woman
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Generally, this is much more
common in people after 50, 60.
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We're talking about the
problem of osteoarthritis.
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The gradual degeneration
of cartilage that happens
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through the years.
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Doctors that look at
this... that look at the joints
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of the body,
that's the radiologist,
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say that someone, by the
time they are 60 years old,
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if you let them look
at enough of their joints,
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100% of the people will
show evidence of osteoarthritis.
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So, that means that the
person is going to start
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to notice what's going on...
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It will be perhaps
painful, and definitely limited.
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Painful fingers... That's right.
Painful hips... That's it.
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Painful knees
and painful feet...
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I've heard those
complaints hundreds of times...
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and I always thank the Lord
that I don't yet have those...
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and I'm so grateful.
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Well, in the hip, the person
will begin to notice it walking.
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Of course, it's when
we're walking that you put your
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pressure and you
expect movement in the hip
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So, if that
occurs, one simple thing...
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And it's certainly
worthwhile to try... is a cane.
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If you put the cane down
right when you're putting that
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foot of the painful leg,
the painful hip on the ground,
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Then you are
helping to bear that weight.
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It's not so much
just the force...
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By the way, you carry a cane
on the opposite side in general,
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to the painful side.
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I already had it in my
hand... the painful side,
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so when I saw that you
had it on the other side,
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I shifted there... Okay
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When every time a person takes
a step, what holds your body
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so that you can swing
the other leg, is strong hip,
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we call them abductor muscles.
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Strong muscles out
here that hold the body up
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...otherwise, the person
would be falling over, like this
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with every step... falling to
one side and then the other side
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Well this muscle holds it up...
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BUT, at the same time, it's
putting that much more force
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through the hip joint... I see
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So if the joint has degenerated,
then you're applying perhaps
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3 times body
weight through the hip.
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By degenerated, you mean
that this cartilage part here...
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...the part that covers...
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We don't actually have a model
here of the cartilage itself
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It would be a
layer... oh, 1/4 of an inch,
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or maybe even more, thick
covering this head and giving
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a socket for this head of the
thigh bone, femur to fit into.
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Is there cartilage
also in the socket,
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or just on the
head of the femur?
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Well, it's
in-between the 2 bones,
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BUT, actually a layer
of this bone is cartilage
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and a layer of the
pelvic bone is cartilage,
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so you've got 3 layers of
cartilage needing each other.
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So if it gets degenerated,
it may be in several places?
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That's true... and you
may have a lot of debris.
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Just little pieces... little
pieces, or even just junky sand
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Well, a cane like that
really can give some relief.
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But most people aren't aware
that there's a simple procedure
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that helps sort of push
that material back into place
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And if you get it into
place, and rest it a while...
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perhaps it kind of glues
a little bit together too.
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It's a simple
traction maneuver and so...
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I think we should try and
do it right here... All right
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Very good... Yes, I'm glad
that Shannon has agreed to be
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helpful in this way.
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So we'll just have
her lie down here and
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you tell me what to do. Okay!
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Now we're going to be pulling
her leg, not to fool her,
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but to literally pull her leg...
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And when we do this, we do
it with enough force so that she
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would just be pulled right
off here, or even off a bed.
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Now, we've already seen
how easily you can slip here,
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so Shannon is putting her
arms at the back of the table
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there to hold herself
from being pulled off. Okay.
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Dr. Agatha... Yes...
you want your leg to be
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loose so the knee and the
hip are just as loose as can be.
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You don't apply any force
there, and that's the way...
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You grab behind the knee,
and perhaps a little further up
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with this arm, and now
start some pulling force
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right in the
direction that the thigh is in.
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And, good... are you
feeling it, Shannon? Um hm
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Okay! And
considerable force can be
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applied like this
50 or even 100 pounds.
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I know you won't want to
stay there too long... It's 130!
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Okay, well that
gives you the idea.
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To do that for about a minute?
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Yes, if you can do
that for a minute...
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I've done it a number of times
for... well, I never did watch
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my watch, but I would say
1/2 a minute to a minute or
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I'm sure it wasn't
more that 2 minutes.
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I'll do it for a while, and
then stop and then do it again.
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And people that get help
with this, that's a good number
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...will say that it gives
them relief hours and sometimes
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a day or 2... In fact, I think
even longer I've seen at times
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So it's certainly worth a try.
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People can have surgery
put off for quite a while
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just by a simple
maneuver like that.
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Now I felt as if I were actually
putting a little suction
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almost on her hip joint...
Was that actually happening?
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I think that it literally true.
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We don't have
here, in visual form,
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what actually is around here.
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There's a whole
joint capsule... Ah ha
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You mean, in addition to
this part, there is also...
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It's like it
encases the whole joint.
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This is not the cartilage,
it's an actual capsule.
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Ligaments and tendons...
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The ligaments would be
like thickenings of the capsule.
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But that capsule is
what separates the hip joint
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from the rest of the body.
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So when you put that traction
on you're stretching the capsule
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...and sort of pulling the
things in towards the center
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of the joint. Um hm
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Now, I think you DID this but
I think it's worth saying it...
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just for anyone
that's watching...
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That this is not just a matter
of pulling because if Shannon
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had tightened her muscles any,
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all you're doing is
pulling against muscles,
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and we don't want to do that.
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We want to really
stretch the joint.
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That's why you sort of
jiggle it a little bit.
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Jiggle it to make sure she
has relaxed it... That's right.
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...While you're
applying that force. Ah ha, yes.
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I did a little bit to
see if she was still relaxed
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and she did very well.
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Thank you so
much... appreciate that!
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And I have a little
bit more appreciation for
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the hip joint now, and for
the debris that can accumulate
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in there... and so the
idea is to bring that debris
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to the center, so that
it won't be here where the
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major part of the
pressure is going to be.
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You know, I think what
often happens when you've gotten
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that cartilage worn down
thin and made into debris,
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that it goes out into
the folds of the capsule
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where it's not
really functioning...
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It's not between the 2 bones.
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When you PULL like this,
the capsule tightens up and it
00:09:21.74\00:09:24.94
pushes these things
back up... That's it
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That's very good, and you
can get pain relief then for
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a long time, or?
00:09:31.91\00:09:33.09
I don't want to say
that routinely, you'll get it
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for days and days, but
we've seen people where
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they'll get it...
Well I've heard therapists
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tell me that quite often, a day
or 2 and perhaps several days,
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I think I've seen
people where it will last up to
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a week or so.
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People are very happy
with this simple maneuver
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and so then they don't have
to be taking drugs and so on.
00:09:53.19\00:09:57.43
Well that's good and,
considering the fact that
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a drug which might be
harmful to us, might not last
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more than 3 or 4
hours also... That's routine
00:10:06.60\00:10:09.78
is pretty
respectable pain relief. Um hm
00:10:09.81\00:10:11.66
Now, this is a
model of the knee.
00:10:11.69\00:10:14.10
What kind of
problems can we get?
00:10:14.13\00:10:17.87
Every time I kneel to
pray, I thank the Lord that I
00:10:17.90\00:10:21.45
don't have pain and have
a knee that will still work.
00:10:21.46\00:10:26.04
If you do a lot of kneeling,
like someone doing floors,
00:10:26.07\00:10:31.13
there is a bursa that
they can compress here below
00:10:31.16\00:10:38.57
along here on the patellar
tendon, as it is called.
00:10:38.60\00:10:41.20
By the way, these
white, tough structures
00:10:41.23\00:10:47.02
are the ligaments of the knee...
00:10:47.05\00:10:48.51
And I should call
this one a tendon because
00:10:48.54\00:10:52.56
because this actually
connects to a muscle here
00:10:52.59\00:10:55.79
But these ones are ligaments.
00:10:55.82\00:10:57.49
Well there are a
number of injuries...
00:10:57.52\00:10:59.17
In fact, we're
simplifying all along.
00:10:59.20\00:11:01.34
There is not just one
injury at any one joint
00:11:01.35\00:11:03.81
but, at the knee,
you have plenty of things
00:11:03.82\00:11:07.02
that could happen.
00:11:07.05\00:11:08.31
Perhaps it's worth mentioning
that one of the most common
00:11:08.34\00:11:14.03
type of injuries to the
knee would be from sports.
00:11:14.06\00:11:17.65
I think many people will
have heard of sports people...
00:11:17.68\00:11:23.09
football players
injuring their meniscus.
00:11:23.12\00:11:26.25
And, when you're talking about
meniscus, we're just talking
00:11:26.28\00:11:29.27
about one of those
cartilage structures again.
00:11:29.30\00:11:31.22
Now at the knee,
here you can see it...
00:11:31.25\00:11:35.04
It's the white
in-between the bones here.
00:11:35.07\00:11:37.35
This is cartilage.
00:11:37.38\00:11:39.36
And, the thing about
cartilage that is unique is...
00:11:39.39\00:11:45.08
It is the only tissue in
the body that has no blood flow.
00:11:45.11\00:11:48.53
I better correct that... The
cornea doesn't have any either.
00:11:48.56\00:11:52.05
But, the cartilage,
you have a fair sized..
00:11:52.08\00:11:57.21
I mean a lot more
tissue than in the cornea.
00:11:57.24\00:12:00.00
And, its nutrition has to
come from whatever bit of fluid
00:12:00.03\00:12:04.93
that came from blood flow,
but now not has blood flow,
00:12:04.96\00:12:08.34
just seeping into the
cartilage to maintain it.
00:12:08.37\00:12:10.77
And if you injure that cartilage
... because you don't have
00:12:10.80\00:12:13.85
that rich supply the
blood gives to other tissues,
00:12:13.88\00:12:16.72
it's very difficult to heal.
00:12:16.73\00:12:18.82
It takes an AGE
to get it to heal.
00:12:18.85\00:12:21.23
It does, and often it
doesn't do well, even getting
00:12:21.26\00:12:26.81
any kind of healing...
00:12:26.84\00:12:28.28
And so, what's routinely
done, when one of those meniscus
00:12:28.31\00:12:32.69
injuries happens to
the knee, is they will
00:12:32.72\00:12:34.50
go head and do surgery
and take out a piece...
00:12:34.51\00:12:37.42
Take out the entire meniscus?
00:12:37.45\00:12:39.69
That, or take out
the torn part anyway...
00:12:39.72\00:12:43.29
And it's really... Yes, it
will take away their symptoms,
00:12:43.32\00:12:47.84
but the person will not be
100% because as time goes on,
00:12:47.87\00:12:54.28
see, this was part
of the weightbearing
00:12:54.31\00:12:57.00
structure of the joint.
00:12:57.04\00:12:58.22
They now don't have part of
it and this joint will develop
00:12:58.26\00:13:02.01
degenerative
changes, osteoarthritis,
00:13:02.04\00:13:04.77
sooner than a normal knee.
00:13:04.80\00:13:06.81
Is there some kind of
little prosthesis or something
00:13:06.82\00:13:12.04
they could put
in there artificial?
00:13:12.07\00:13:13.66
You know, one
would think that...
00:13:13.70\00:13:15.26
For instance, in the back,
the biggest pieces of cartilage
00:13:15.29\00:13:18.53
in the body are the disks there.
00:13:18.56\00:13:20.08
Well, couldn't one just
put in something that would
00:13:20.11\00:13:22.78
take the place of that disk?
00:13:22.81\00:13:24.41
It's been tried, but I haven't
heard a whole lot of follow-up
00:13:24.42\00:13:28.69
This has been
mentioned years and years ago.
00:13:28.72\00:13:30.39
When you don't hear a
whole lot, it let's you know
00:13:30.42\00:13:32.54
...probably it was a failure.
00:13:32.57\00:13:35.73
Well, in sports injuries,
you often, in addition to the
00:13:35.76\00:13:42.52
meniscus getting injured,
often you do injure one of
00:13:42.55\00:13:46.11
the major ligaments.
00:13:46.14\00:13:47.72
On the knee, this knee...
let's see, is a right knee
00:13:47.75\00:13:53.67
This extra little bone is
on the outside of the knee.
00:13:53.70\00:13:57.80
And what happens, for instance,
football, they'll attack
00:13:57.83\00:14:01.75
of course, from the
side, and when they do that,
00:14:01.78\00:14:05.56
they may damage... you'll
be putting a force like this
00:14:05.59\00:14:12.15
They may damage this meniscus
but you may, at the same time,
00:14:12.18\00:14:15.13
damage the ligament way
out here by stretching it.
00:14:15.16\00:14:17.91
You pull this way. That's
right. You're pulling this way.
00:14:17.94\00:14:20.31
And so, it can be a bad sprain.
00:14:20.34\00:14:22.97
This ligament, as well
as the outside one, are
00:14:23.00\00:14:26.20
called "collateral ligaments. "
00:14:26.23\00:14:27.72
This would be the
medial collateral ligament.
00:14:27.75\00:14:29.45
Well, treating sprains
is something that's worth
00:14:29.48\00:14:35.03
talking about for
a little bit. Okay.
00:14:35.06\00:14:37.11
Maybe we can talk about the
most common sprain in the body.
00:14:37.14\00:14:41.41
And that's a sprained ankle.
00:14:41.44\00:14:44.74
Yes, I've had one of those.
00:14:44.77\00:14:46.19
There's an ankle... Okay.
00:14:46.22\00:14:49.69
Well, which way do people
get sprains on their ankle?
00:14:49.72\00:14:52.85
They get it from
twisting their foot.
00:14:52.88\00:14:54.34
And which way do
people twist their foot?
00:14:54.37\00:14:58.00
Well, I can tell you the
common way is that the foot is
00:14:58.03\00:15:03.54
turned in and you
come down hard here.
00:15:03.57\00:15:06.04
Now this skeletal
model doesn't have on
00:15:06.07\00:15:09.85
the ligaments like this did.
00:15:09.86\00:15:11.12
But, just like in the knee here,
00:15:11.15\00:15:13.33
you have
ligaments on both sides.
00:15:13.36\00:15:16.03
So you have strong ligaments
here along the outside,
00:15:16.06\00:15:19.67
or as we say in medicine,
the lateral aspect of the ankle.
00:15:19.70\00:15:22.76
And, you have other
strong ligaments on the
00:15:22.79\00:15:24.66
medial side, the inside.
00:15:24.69\00:15:26.16
Since we're talking about
twisting the foot this way,
00:15:26.19\00:15:31.07
it's the outside of the
ankle that most commonly
00:15:31.10\00:15:34.42
gets rather badly sprained.
00:15:34.45\00:15:36.30
Now I did this one time,
doing some running on the spot.
00:15:36.33\00:15:40.57
And I think it was a
paying-me-back for being
00:15:40.60\00:15:50.60
a little bit
show-offy to a fellow that was a
00:15:50.63\00:15:53.21
smoker and I was
trying to show him how much
00:15:53.24\00:15:54.81
nonsmokers can do, you see.
00:15:54.84\00:15:56.68
But there I went and
sprained my ankle rather badly.
00:15:56.71\00:16:00.99
And, by the time I had calmed
down enough to look closely
00:16:01.02\00:16:04.81
at the ankle, it had
swollen to about twice
00:16:04.84\00:16:06.98
the size of the other ankle.
00:16:07.01\00:16:08.40
And I, right away, did what
really is part of a reasonable
00:16:08.43\00:16:13.78
treatment
approach for acute sprains.
00:16:13.81\00:16:18.37
Maybe we could write this
up on the board. All right.
00:16:18.40\00:16:22.21
There is a nice little
memory device for this...
00:16:22.25\00:16:28.26
It's the letters... R I C E
00:16:28.30\00:16:40.45
The "R" stands for REST...
Well, that's kind of obvious.
00:16:40.49\00:16:47.50
You want to let the part
rest, and yet some people
00:16:47.54\00:16:52.15
will push on...
especially in sports.
00:16:52.18\00:16:55.85
People will just push
right on against pain.
00:16:55.88\00:16:58.57
And, no, we need to learn
that that pain is there...
00:16:58.60\00:17:02.56
It's God's signal to us
that something's gone wrong.
00:17:02.59\00:17:04.82
You need to rest it.
00:17:04.85\00:17:05.99
The "I" stands for the
same as the rest of the word...
00:17:06.02\00:17:08.81
It's ICE... Now it doesn't have
to be ice that applies the cold
00:17:08.84\00:17:14.54
You can use other
things, but something
00:17:14.55\00:17:17.05
that will apply
cold to the joint.
00:17:17.08\00:17:18.53
The "C" stands for COMPRESSION
00:17:18.56\00:17:26.56
And the "E" stands for ELEVATION
00:17:26.59\00:17:33.56
Elevation I've seen used quite
routinely after hand surgery.
00:17:33.59\00:17:40.97
They do the surgery and surgery
of course, is inflicting wounds
00:17:41.00\00:17:44.64
And, after any wound,
you'll get inflammation.
00:17:44.67\00:17:49.00
And just so it isn't excessive,
they'll raise the hand...
00:17:49.03\00:17:53.05
have the person's hand up some.
00:17:53.08\00:17:55.37
Well, I had just injured
my ankle, and I didn't want
00:17:55.40\00:18:02.26
to fool around with ice...
that seemed too bothersome to me
00:18:02.29\00:18:05.08
And I wasn't anxious to rest
either, I had some things to do
00:18:05.11\00:18:07.76
where I was visiting a
city where this happened.
00:18:07.79\00:18:11.48
So, I zeroed in on compression
as my treatment means.
00:18:11.51\00:18:16.35
And yours was this kind of
injury... It was, that's right
00:18:16.38\00:18:21.22
And so, compression, I
know you're going to use this
00:18:21.25\00:18:24.71
I actually used something
similar... it's Ace wrap
00:18:24.74\00:18:27.98
which I'm sure many viewers
have seen... that tan-colored
00:18:28.01\00:18:32.40
sort of elastic wrap...
This is more rubbery material
00:18:32.43\00:18:35.63
but the same idea.
00:18:35.64\00:18:37.38
And so this was wrapped around.
00:18:37.41\00:18:39.26
I don't think we'll do a whole
demonstration here of this,
00:18:39.29\00:18:44.92
but you can see the idea...
you wrap around several times
00:18:44.95\00:18:48.20
You wrap it snug but
obviously, you don't do it
00:18:48.23\00:18:50.40
so tightly that
you're going to be...
00:18:50.44\00:18:51.87
I've heard that you start all
the way down here at the bottom
00:18:51.91\00:18:54.09
Well, you might, although
when you're not going to apply
00:18:54.12\00:19:01.32
a whole lot of pressure...
00:19:01.35\00:19:02.91
It isn't bad to do it
moderately snug up here.
00:19:02.94\00:19:08.72
Now, you always want to check
on the status of the circulation
00:19:08.75\00:19:13.87
and of nerves.
00:19:13.90\00:19:15.33
Orthopedic surgeons, when
they come and check patients,
00:19:15.36\00:19:17.62
after they've operated and
any injury, they always talk
00:19:17.65\00:19:22.39
about the NV status...
neurovascular status of the limb
00:19:22.40\00:19:25.71
...so you go down
and check the toes
00:19:25.75\00:19:27.45
and see if their
color is good and so on.
00:19:27.48\00:19:29.15
If you're going to apply
a major amount of pressure,
00:19:29.18\00:19:32.56
it's exactly like you
said, you should start
00:19:32.59\00:19:34.51
down at the toes and actually
decrease the pressure as you
00:19:34.54\00:19:38.24
come up... I see
00:19:38.27\00:19:39.32
But here, you want a moderate
amount, not a lot of pressure
00:19:39.35\00:19:42.21
That's right. A moderate amount
just on the sprained part.
00:19:42.24\00:19:45.28
You know, I didn't need
a whole lot of pressure.
00:19:45.31\00:19:47.39
The effect was
really quite dramatic.
00:19:47.42\00:19:49.25
I put it on and,
maybe half an hour later,
00:19:49.28\00:19:54.01
I took it off just to
see, and it was right down to
00:19:54.04\00:19:56.32
pretty much the same
size as the other ankle;
00:19:56.35\00:19:58.26
whereas it had
been VERY swollen.
00:19:58.29\00:20:00.51
So the compression DOES really
act against that swelling.
00:20:00.52\00:20:05.25
Now to me, a very
interesting thing about this...
00:20:05.28\00:20:11.47
was what happened
a few years later.
00:20:11.48\00:20:13.58
Now, I got over the acute
problem and was walking around
00:20:13.61\00:20:18.84
after limping for a few days,
but I noticed that at times,
00:20:18.87\00:20:24.86
that the ankle
wasn't very strong.
00:20:24.89\00:20:26.91
I went to a
conference put on by osteopaths
00:20:26.94\00:20:31.44
at one of their
schools up in Michigan, and
00:20:31.47\00:20:35.77
it was an excellent presentation
in which they presented
00:20:35.80\00:20:38.27
manual treatment of joints.
00:20:38.30\00:20:40.05
And there, they gave
the diagram of the ankle
00:20:40.08\00:20:43.33
and then they immediately
had us pair off to treat...
00:20:43.34\00:20:46.82
work with each other...
00:20:46.85\00:20:47.83
And the man that worked on
my ankle, he right away said...
00:20:47.86\00:20:51.41
"What's wrong?
This is a sloppy joint"
00:20:51.44\00:20:54.77
And it then occurred
to me... that this sprain
00:20:54.80\00:20:58.35
had left my joints weak...
00:20:58.38\00:21:01.81
And I can't help but think that
I was, even without applying
00:21:01.84\00:21:05.47
any terrible pressure, I
was counteracting with this
00:21:05.50\00:21:08.67
compression, the natural
inflammatory response of the
00:21:08.70\00:21:11.99
body for healing... Yes
00:21:12.02\00:21:13.60
So it didn't get as firm
a healing as you should have
00:21:13.63\00:21:19.60
gotten... That's right.
00:21:19.63\00:21:21.06
You know, you look at these...
00:21:21.09\00:21:24.61
Here I am wanting to avoid
all the drugs and when I see
00:21:24.64\00:21:28.40
treatments that are not
drug- based... I think, great!
00:21:28.43\00:21:30.68
These are the ones I can use.
00:21:30.71\00:21:32.25
But you know, it teaches
us that we really have to be
00:21:32.28\00:21:35.30
rational... We really have to
think carefully about what we do
00:21:35.33\00:21:38.13
Think about the physiology of
the thing involved. That's right
00:21:38.16\00:21:42.13
Very good... Well, I'm happy
for this explanation of sprain.
00:21:42.16\00:21:47.72
And, you mentioned about
a bursa under the knee that
00:21:47.75\00:21:50.99
people like carpet-layers
and others who kneel a lot
00:21:51.02\00:21:55.51
might get... How
would you treat a bursitis?
00:21:55.54\00:21:58.77
A bursitis pretty near
anywhere, a standard treatment
00:21:58.80\00:22:04.34
would, in fact, be injections
and injections of steroid
00:22:04.37\00:22:08.74
which cut OUT that
whole inflammatory process.
00:22:08.77\00:22:11.59
Now if the inflammation has
carried on for quite a while,
00:22:11.62\00:22:18.59
the pain that's rather
bothersome, then I think
00:22:18.62\00:22:22.51
a reasonable approach
would be to try some cold.
00:22:22.54\00:22:26.62
And I've seen how this can
often give relief that isn't
00:22:26.65\00:22:30.19
just for the time of
cold, but it can give relief
00:22:30.20\00:22:32.49
that will be rather long-lasting
... That sounds good.
00:22:32.50\00:22:36.10
Now another thing that I
would like to bring up is
00:22:36.13\00:22:39.71
that of plantar fasciitis.
00:22:39.74\00:22:42.70
And I've had plantar
fasciitis in my family...
00:22:42.73\00:22:46.20
And one of the things
that we have used for that
00:22:46.23\00:22:50.49
has been these little heel cups.
00:22:50.52\00:22:53.82
Sometimes some people get
a little benefit from that.
00:22:53.85\00:22:56.87
But I think most of the
time, they have not gotten
00:22:56.90\00:22:59.86
a LOT of benefit from the
heel cups for plantar fasciitis.
00:22:59.87\00:23:04.29
How would you
treat plantar fasciitis?
00:23:04.32\00:23:07.59
Well, plantar fasciitis is worth
explaining a little further.
00:23:07.62\00:23:14.86
We've got our
skeleton here with the foot.
00:23:14.89\00:23:18.18
Plantar means on
the sole of the foot.
00:23:18.21\00:23:22.93
This is the palm
of the hand, palmar.
00:23:22.96\00:23:25.45
And plantar is
the sole of the foot.
00:23:25.48\00:23:27.88
And it is... the plantar fascia
is a whole sheet of strong
00:23:27.91\00:23:33.90
connective tissue
running from these bones,
00:23:33.93\00:23:38.13
at the base of the toes...
Right here just at this point?
00:23:38.16\00:23:42.01
I would say along in
here, sort of behind this
00:23:42.04\00:23:45.10
joint where the
toes start. Um hm
00:23:45.13\00:23:47.04
Running along here and
coming back and attaching
00:23:47.07\00:23:51.08
to the heel bone.
00:23:51.11\00:23:52.27
So they sort of attach to
the undersurface of these bones
00:23:52.30\00:23:56.41
That's right...
Right here at the beginning
00:23:56.44\00:23:58.60
of the toes and go all the way
back to the heel.. That's right!
00:23:58.63\00:24:03.48
And in my experience,
in fact, just by the pain
00:24:03.51\00:24:09.81
of plantar fasciitis, it
seems to me like they attach
00:24:09.84\00:24:12.31
very much right to
the point of the heel.
00:24:12.34\00:24:14.86
So, to explain the function of
that... that's what keeps a foot
00:24:14.89\00:24:20.43
in kind of an arched position
and gives a spring to the foot
00:24:20.46\00:24:24.13
I see... so it's not
just there for insulation
00:24:24.16\00:24:27.91
It there actually
for support. Absolutely!
00:24:27.94\00:24:30.44
And what happens, as people
get older, there's a tendency
00:24:30.45\00:24:39.61
for this strong connective
tissue coming in and attaching
00:24:39.62\00:24:43.03
to the bone...
to start loosening.
00:24:43.06\00:24:45.34
Like a ligament being
pulled away from the bone
00:24:45.37\00:24:50.41
And what can happen
then, it can actually cause
00:24:50.44\00:24:54.55
some extra bone
formation, a spur forms there
00:24:54.58\00:24:58.49
And people often talk about a
heel spur and how it's painful.
00:24:58.52\00:25:01.09
Well it can be
painful without the spur.
00:25:02.01\00:25:03.83
And sometimes the
people that have the spur don't
00:25:03.86\00:25:05.68
have pain, so those
of us that work with it
00:25:05.69\00:25:08.23
a fair bit, tell the people...
don't worry about the spur
00:25:08.26\00:25:11.42
What's much more diagnostic
is what happens when you
00:25:11.45\00:25:15.25
press on the area. Um hm
00:25:15.28\00:25:16.82
So if you press
right around here,
00:25:16.85\00:25:19.52
usually just about at
the point of the heel,
00:25:19.55\00:25:23.79
if they don't jump
a bit in their chair,
00:25:23.82\00:25:26.59
then they probably don't
have plantar fasciitis... I see
00:25:26.62\00:25:29.14
So the pain then of plantar
fasciitis is right in here
00:25:29.17\00:25:33.21
Yes, it can radiate.
00:25:33.24\00:25:35.05
Some people have it even towards
the forefoot but much more
00:25:35.08\00:25:37.69
commonly, it's right
here by, or right on the heel.
00:25:37.72\00:25:40.86
The plantar fasciitis
that I've had in my family,
00:25:40.87\00:25:44.90
when they would put the foot
down; say, after they've been
00:25:44.93\00:25:49.80
sitting in a chair and
they stood up, or when they've
00:25:49.83\00:25:52.38
been in bed and they
stood up... A sudden sharp pain!
00:25:52.41\00:25:54.35
...A sudden sharp pain
00:25:54.38\00:25:56.25
It was bad enough
they couldn't walk.
00:25:56.26\00:25:58.08
That is absolutely typical.
00:25:58.11\00:26:00.23
It's when it's been
resting, and THEN you put the
00:26:00.26\00:26:02.70
weight on it, that
it REALLY cries out.
00:26:02.73\00:26:04.95
A lot of
treatments have been tried.
00:26:04.96\00:26:08.66
These kind of heel cups
is just one of many various
00:26:08.69\00:26:15.69
foot supports,
orthoses, things that will apply
00:26:15.72\00:26:23.58
pressure here in
the plantar fascia and
00:26:23.61\00:26:28.31
high heels even have been tried.
00:26:28.32\00:26:30.99
And all these various things...
it's kind of difficult to
00:26:31.02\00:26:34.84
really get good relief.
00:26:34.87\00:26:37.16
One of the things that we
tried was having the person
00:26:37.19\00:26:42.21
stand against a wall and
lean into it with the heels
00:26:42.24\00:26:45.15
flat on the floor which would
stretch the backs of the legs
00:26:45.16\00:26:49.80
and, hopefully,
stretch the plantar fascia...
00:26:49.83\00:26:53.01
Do you think that would work?
00:26:53.04\00:26:54.01
Yes, that is probably
the most useful treatment
00:26:54.02\00:26:57.01
that's noninvasive... is
to stretch those heel cords
00:26:57.05\00:27:00.20
this muscle and the
tendon and also it stretches the
00:27:00.23\00:27:04.72
plantar fascia when you
have the foot behind you
00:27:04.75\00:27:09.09
and then also
doing toe-rises... Oh yes
00:27:09.12\00:27:11.72
Doing toe-rises may be helpful.
00:27:11.75\00:27:14.99
We found also that
putting this red pepper extract
00:27:15.02\00:27:20.76
Oh... just Zostrix...
Ah ha... Zostrix which you
00:27:20.79\00:27:23.44
can buy at a drugstore.
00:27:23.48\00:27:24.50
We just paint that on the
bottom of the foot 6 times a day
00:27:24.53\00:27:27.70
And then after they got pain
relief, then once or twice a day
00:27:27.73\00:27:33.31
from then on and sometimes
they get pain relief for
00:27:33.34\00:27:36.28
a LONG time.
00:27:36.31\00:27:37.95
Well, we have by no
means, covered the entire gamut
00:27:37.98\00:27:41.72
of skeletal problems
in the lower extremity
00:27:41.75\00:27:45.98
But what we have
covered, we hope will be a
00:27:46.01\00:27:48.24
great blessing to you.
00:27:48.27\00:27:49.75
We hope that you and
your family will receive
00:27:49.78\00:27:53.46
and eternal blessing
from these very simple things.
00:27:53.50\00:27:55.60