Guest guest Posted May 11, 2007 Report Share Posted May 11, 2007 I don't live in a world of never and only. In that world many things can't be treated. (I see you used " only " again but added some disclaimers) That being said here is the trick to fixing flat feet. Have your patient pull their big toe up and other toes down and bend the foot into the form of a kife edge kick(where this trick came from and part of what gets taught in my up coming classes, see http://health.Chinese Medicine/mess age/24217 " Please Help " ) Now have you patient hold this position all of the time. Any free time and they need to be doing this. Leg lifted to the side and foot in knife edge kicking position. As they start building these muscles that counteract hyperpronation then they can start walking on the knife edge of the foot on grass or sand, wet sand being the best. The problem is that most patients stop doing this when the pain goes away and never get to lift the arch so you must reinforce the importantance of this exercise. If you know how to adjust the bones of the feet it will speed it along, especially in the beginning. As to the locked out big toe you do the same but with the plasters or a blood moving soak (also taught in the " please help " class). If they are in a hurry then have a podiatrist scrap off the spur. This also clears up plantar fasciitis as well. Another exercise is to pretend the foot is a covered in peanut butter and have them spread the peanut butter onto a big imaginary slice of bread (no need to use real peanut butter). Kelvin www.1stdefense.info Chinese Medicine , " Alon Marcus " <alonmarcus wrote: > > Kelvin > As you know a compensated forefoot varus is a condition that results from a supinated foot at birth something we just cant change. If you know a way please let me know. A good orthotic is the only way i know to take stresses out of the foot, this should always be integrated with manual therapy and exercises. However, if the first ray is down and MTP lucks in stance i do not know of any other way to resolve it. Please let me know if you do > > > > > > > > > - > acupuncturebeverlyhills > Chinese Medicine > Monday, May 07, 2007 1:55 PM > Re: bone spurs > > > Alon, I wasn't thinking " reverse Morton's extension " it is just what > you suggested to Yehuda. > See your advice here. > http://health.Chinese Medicine/mess > age/24493 > > I still believe that, in the long run, ortho inserts are just > bandaids and don't treat the root of anything. > Kelvin > > Chinese Medicine , " Alon Marcus " > <alonmarcus@> wrote: > > > > Kelvin > > A couple of more points. The treatment of choice for compensated > forefoot varus (and with her having a " a flat foot " ) is a reverse > morton's (perhaps you are thinking of morton's extension which would > be contraindicated) or a K-wage. Reverse morton's is used in almost > all pt with hallux limitus. My point on acute trauma is that this is > another etiology that result in arthritic changes and that these pt > respond differently than mechanical ones. > > As far as bone spurs, they are definitely symptomatic when they > result in pressure on neural tissues. > > > > > > > > > > > > > > > > > > - > > acupuncturebeverlyhills > > Chinese Medicine > > Sunday, May 06, 2007 10:46 PM > > Re: bone spurs > > > > > > Let me look at what you are trying to say. > > > > " A bone spur is only found in a patient with significant > mechanical > > stress " I had many bone spurs on my femur from lying in a > hospital > > bed for 11 months. So " only " should be avoided in this sentence, > the > > world is not so black and white. > > > > " The bone spur in completely immaterial to the pt symptoms. " Well > > Mrs. So and So, seems that painful bone spur that keeps you from > > walking actually is immaterial, now get up and do some walking on > a > > reverse Morton's ortho insert. (She is very over weight and as > such, > > most likely has Forefoot Varus, which is contra-indicated in a > > reverse Morton's) > > > > " You can reduce symptoms with herbs both internally and > externally > > but you cannot get rid of the problem unless you treat the > mechanics > > of the foot that lead to it in the first place. " When did > reducing > > the symptoms become a bad thing? Treating the mechanics of a > woman's > > foot that is most likely forty pounds over weight and flat footed > is > > more about diet and leg muscle work (from Gluts, TFL on down > ward) > > and less giving inserts. > > > > " Saying that some pt develop MTP swelling due to trauma and in > some > > of them you can treat it with herbs and acup and get rid or the > > symptoms " Haven't quite figured out what you are trying to say > here > > but it seems you are going against what you already said about > not > > being able to fix the problem with external herbs. If you reread > the > > post then you will see that it started (she thinks) after jamming > her > > toe into a wall(trauma)while running barefoot. > > > > Anyhoo... I'm sure we would both come up with something > completely > > different if we actually saw the patient. lol > > Thanks for the banter. > > > > Kelvin > > > > Chinese Medicine , " Alon > Marcus " > > <alonmarcus@> wrote: > > > > > > I have treated many first MTP arthritis and i know what you > suggest > > will not result in pain free gait. A bone spur is only found in a > > patient with significant mechanical stress. The bone spur in > > completely immaterial to the pt symptoms. You can reduce symptoms > > with herbs both internally and externally but you cannot get rid > of > > the problem unless you treat the mechanics of the foot that lead > to > > it in the first place. Saying that some pt develop MTP swelling > due > > to trauma and in some of them you can treat it with herbs and > acup > > and get rid or the symptoms > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > - > > > acupuncturebeverlyhills > > > Chinese Medicine > > > Sunday, May 06, 2007 9:08 PM > > > Re: bone spurs > > > > > > > > > Didn't hear anyone say, " Don't treat the root problem! " > > > Anyway, I never say never (opps, just said it twice). > > > It will make the spur smaller and get her walking without pain, > > > however. (stabbing a 28guage needle ito it usually clears it > up). > > > Making the pain go away is a good way to show how the medicine > > works > > > to get a commitment on treating the root problem. Sometimes if > > you > > > don't know the external herbal remedies and go the long way of > > > treating a root problem, they give up before they are better, > > > thinking of how much they spent for no results. > > > > > > Kelvin > > > > > > Chinese Medicine , " Alon > > Marcus " > > > <alonmarcus@> wrote: > > > > > > > > Just to point out that an arthritic MTP treated with herbs > will > > > never treat the root of the problem. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > - > > > > acupuncturebeverlyhills > > > > Chinese Medicine > > > > Sunday, May 06, 2007 8:32 PM > > > > Re: bone spurs > > > > > > > > > > > > Seems you got every answer except what you are looking for. > > > > > > > > Dieda Zhengtong Yaogao, also known as " 701 plaster " > > > > This only for chronic non red/warm bone spurs.(if it's > red/warm > > > let > > > > me now and I'll give you a plaster for that) > > > > > > > > You might want to work on her diet as well. > > > > > > > > Kelvin > > > > > > > > Chinese Medicine , Andrea > > Beth > > > > Damsky <@> wrote: > > > > > > > > > > Hi All, > > > > > > > > > > I am interested in topical treatments for bone spurs in the > > > feet. > > > > In particular, the patient is a 50-year old female with a > > history > > > of > > > > swelling of her feet in warm weather that she remembers since > > age > > > > 12. The bone spur is in the first metatarsophylangeal joint > of > > > the > > > > right foot (where the foot joint the big toe), and the joint > is > > > > obviously enlarged and makes purchasing shoes that fit > > > comfortably > > > > difficult. There is also pain in the joint after walking in > > shoes > > > > that don't have enough arch support. She has had flat feet > > since > > > > childhood. Lastly, related to the foot particularly, she > > > remembers > > > > jamming this big toe into a wall while running barefoot once > in > > > her > > > > early 20's, and believes this is the cause of the bone spur. > > > > > > > > > > Constitutionally, she is overweight at 5'2 " and 165 pounds, > > > with > > > > deficient spleen, kidney and lung qi, phlegm damp in the > lungs > > > and > > > > chronic phlegm heat in the sinuses. She also exhibits signs > and > > > > symptoms of stagnant liver qi and blood - sore muscles that > > > > occasionally cramp (diagnosed with fibromyalgia many years > > ago), > > > > varicose veins, and emotional irritability with a dusky > tongue > > > that > > > > is puffy, with a medium-thickness, slightly dry and slightly > > > yellow > > > > coat. She is currently experiencing irregular menses, > > approaching > > > > menopause. In recent years she has also exhibited kidney- > liver > > > yin > > > > deficiency, generating internal wind with ocular migraines > and > > > > frequent headaches in summer and fall. She has a tendency to > be > > > cold > > > > or overheated (when running low-grade fevers) in the mornings > > and > > > hot > > > > in the afternoons and evenings, but not always. > > > > > > > > > > Her pulse is slightly rapid, weak, small, and soft with > > kidney > > > > pulse very deficient. Her blood pressure has always been low, > > > > between 80/50 and 96/60 in the mornings, and up to 110/70 in > > the > > > > afternoons. > > > > > > > > > > She is more interested in topical applications for the bone > > > spur > > > > than internal use of herbs. Any suggestions? I know John Chen > > has > > > > an herb formula which he claims will dissolve spurs (Flex > > Spur), > > > but > > > > I am wondering if topical application of any herbs can also > be > > > > effective? > > > > > > > > > > Thank you, > > > > > > > > > > > > > > > > > > > > > > > > > Be a PS3 game guru. > > > > > Get your game face on with the latest PS3 news and previews > > at > > > > Games. > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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