Your Questions Answered Hump Day Conversation 20

https://youtube.com/watch?v=YkjJWzulJtk
00:06-05:20Baker’s Cyst
05:23-10:06Runner’s Knee
10:07-13:36Lower Kinetic Chain
13:37-17:50Flat Feet
17:51-23:26Migraines
23:46-26:12Cracking Your Knuckles and Arthritis
26:13-30:20Straightening Toes
30:34-33:29Tendonitis
33:30-36:25Chiropractic and Acid Reflux

Bedford Chiropractors Speak About Baker’s Cyst

Dr. Clayton Roach: [00:00:07] So again, everybody welcome Humpday conversation number 20, we decided to do an open question. This joke is just ah man, I Look forward to these jokes. Yeah. So thank you very much for your questions. It was great. Otherwise, you would kind of look like two fools just talking about nothing. All right. So the first question was, what is a Baker’s Cyst? What causes it and how do we eliminate a Baker’s Cyst? This is a pretty good picture, one right here. So start off Ben and then we’ll go from there.

Dr. Ben Boudreau: [00:00:47] Sure. Yeah. So clearly, what you can see there is a large bump on the back and we call that the posterior aspect of the knee joint. They’re a baker’s cyst. This is also known as a popliteal cyst because it sits in the popliteal fossa. And that one there is a good example of one that is a little further on in. So when they’re really swollen, they’ll pop out like that. A baker’s cyst is a fluid-filled sac, that synovial fluid from the joint. And it causes a bulge in the back of the knee, people often feel tightness behind the knee and the pain will get worse when the knee is flexed or extended and it’s usually a result of arthritis or damage within the joint itself.

Chiropractic Definition – Baker’s Cyst

And so the synovial fluid will begin to seep backwards. So you can see how in the image to the right. And so there’s that big blue sort of round fluid-filled sac that’s just coming off of the knee joint. They’re. So first of all, like the synovial fluid is the fluid inside the joint that gives it its lubrication, right? So there are different joints in the body. The knee is a synovial joint, and then just over the fluid starts to seep into the back to the back. Now, a healthy knee does not do this. We need to point that out.

Anybody who has a baker, since someone has a healthy, by definition, arthritic knee, and that’s why this leads to that and all, although flexion and extension are both painful, much more painful, which flexion because you’re basically squeezing the back where the ball or the sac is, and totally different than the ganglion cyst we have a little questionable ganglion is going to be totally different, does not appear here. Ganglion cysts appear in the wrist treatment, Ben what do you recommend.

Chiropractors Treatment – Baker’s Cyst

Dr Ben Boudreau: [00:02:45] Treatment. So like a lot of conditions that are caused by inflammation and leakage of synovial fluid, there are a lot of recommendations for a quick fix would be the right protocol. And so making sure the rest that area, if it’s really bad eyesight, compress the area and keep it elevated. That’s the gist. Get that synovial fluid to seep back into the joint and lower any sort of information that you might have around that knee joint, because most commonly this is caused by arthritis or a tear there in the knee joint. So you want to be able to just sort of get that inflammation down and then you can start doing your your range of motion. First point.

Dr. Clayton Roach: [00:03:29] Yeah, for sure. Strengthening, strengthening, strengthening the area is going to be important as well. So like sitting and then standing. If you’re going from sitting to standing and doing multiple reps of that, if you have an elastic band, you can take your foot and just extend. This is your foot, you’re extending the knee out, right. So you’re basically bringing your legs straight out in front of you to strengthen your quadriceps.

Chiropractors Treatment – Baker’s Cyst Continued

Dr. Clayton Roach: [00:03:57] Very important there. And basically, you know, what you have to think about is how did this all happen? It happened because of mechanical dysfunction along the way that created arthritis. So anything you can do to offload that, like addressing any foot issues, addressing hip issues, pelvic issues, is going to help offload the pressure off that knee and help bring down the size of that synovial cyst. Now, unfortunately, if they get too big, then the only way to do that is to aspirin to go in with a needle and make it smaller. But again, then you mentioned the risk of infection and stuff like that. So you definitely want to try to avoid that.

Dr. Ben Boudreau: [00:04:42] And that’s what I have for a baker’s or popliteal sisters if they do get painful enough. You definitely want to put that ice on and restore the structure of that knee because it stems from is that arthritis? But where does arthritis come from? And so you have to be able to think back. If I want to get rid of this long-term, there are some structural components that need to be taken care of.

Dr. Clayton Roach: [00:05:06] Yeah, Laser, I will say, has helped a lot of people with baker’s cysts, which we do have in the clinic. So if you do have a baker’s cyst, sometimes brain blood flow to the area and helping nourish that area can help calm down the inflammation that is setting in the.

Bedford Chiropractors Speak About Runner’s Knee

Dr. Clayton Roach: [00:05:25] We had a wonderful question here, I like this question because it does affect a lot of people that we see here in the clinic, as well as what is a runner’s knee and how is it managed.

Dr. Ben Boudreau: [00:05:34] Yeah, so runner’s knee definitely a condition that I’ve experienced myself, it’s also known as patella femoral pain syndrome as well, or a tracking issue. It’s often seen runners, but you can see it a lot in the regular population as well. So it’s when you have a dull ache around the front of your knee, around the patella there, the knee cap, the causes is usually a structural issue that’s caused by the way that you are running. These may include a patellar tracking problem. So the patella is not sliding properly.

When the knee is being moved from flexion to extension, it can be caused by weak muscles. Right. As we look at the photo to the left, we can see the malalignment. And so a lot of times the muscles are not being pulled properly. And so it will lead to that pain in the front of your knee. Now, a lot of runners will begin to notice that they’re starting to suffer that pain at the end of their run or on the latter half of their run. And so this a lot of times will indicate that the muscles are beginning to get weak. And then the tracking of that patella is becoming now aligned, leading to some of that pain.

Chiropractic Definition – Runner’s Knee

Dr. Clayton Roach: [00:06:48] And one of the things to then correct me if I’m wrong, but part of understanding is also that IT Band attaching on the outside part of the knee.

Dr Ben Boudreau: [00:06:57] Yes. Yeah.

Dr. Clayton Roach: [00:06:58] So what happens is right on the outside part of the knee here. Here you see the fibula, it then attaches right in through here and goes all the way up into the hip. So this is what we call the IT Band stands for illio, which means the top part of the pelvis, what’s called the ilium and the tibial. It just goes beyond there and attaches to the tibia right here. So iliotibial bend. And basically what you’ll do is you create inflammation and through the outside part of the knee here. And typically that’s going to come from an imbalance in the muscles of the pelvis. One specific muscle called attention.

Chiropractic Treatment – Runner’s Knee

Dr. Clayton Roach: A lot of the TFL and what ends up happening is you end up having the accumulation of inflammation in the knee area. And then on top of that, just like then said, you know, if you’ve got a tracking problem, your patella, remember, the bottom part of the patella is convex and the bottom part of the underneath the tibia is concave. So they glide right in that groove. As soon as you start to get out of that groove, you’re going to start to grind the underneath. Right. So very, very important. And that is runners. What about for treatment Ben?

Dr. Ben Boudreau: [00:08:06] Yeah. So it depends on what your goals are. Right. So and depends on the severity as well. And so a lot of times if you’re looking for a quick fix, I go back to my roots and athletic therapy and so you can apply a bandage tensor bandage over the top of that patella tendon or that quadriceps tendon to take the pressure off of that area to reduce the load. Another option that you can do for treatment is to fix the tracking issue. And this is fixing a lot of your muscular imbalances.

Chiropractic Treatment – Runner’s Knee Continued

Dr. Ben Boudreau: And so a lot of times people will have a weak VMO and that’s the muscle on the medial side of your quad. The middle side. Yeah. And it’s supposed to help trackback to keep it in line. But if it’s weekends, you’ll notice on the latter half of that run that you’ll start to get that pain because I have muscles too tight and the patella runs out of alignment, which will lead to that primary issue.

Dr. Clayton Roach: [00:09:04] Yeah. So just imagine that you’ve got three muscles running through here that make up your quad. If one of these and they all basically. Make the patellar glide up and down, so if one stronger than the other, all of a sudden the portal is gliding more to the left, it’s gliding more to the right, and that’s what creates the tracking problem. More common is going to be the middle muscle being weak and the outside muscle being strong. And the patella goes this way. Right. All right. Anything else?

Dr. Ben Boudreau: [00:09:40] Yeah, I mean, that’s essentially a correct alignment, right, do the VMO exercises anything that has Riddick sorry, resisted adduction and so when you’re trying to squeeze your knees together, that will strengthen your VMO. So look to find exercises that will help with that particular motion there.

Bedford Chiropractors Speak About Lower Kinetic Chain

Dr. Clayton Roach: [00:10:01] Yeah, and always look above and below feet and hips as well and. All right, I like this question a lot because I’m sure it’s a question a lot of people ask for a head in their head, but maybe when they’ve thought about asking. How do you manage what an ankle pain and what is the connection to the spine? All right, so it definitely depends what kind of foot or ankle pain that you’re talking about, if the talkable ankle issues, it’s definitely, you know, in terms of the root cause, if it’s a mechanical issue, it requires a mechanical treatment.

Right. So if there is a lack of good function in the rear foot, when we talk about the rear foot, we’re talking about the heel. Right. And also the right next to it. So there’s the calcaneus, which is the heel. Then there’s the talus lack of movement in your rear foot. Oops. Lack of movement in your rear foot is going to decide what the midfoot forefoot. So people come in and have pain. No part of the foot pain.

Chiropractic Definition – Lower Kinetic Chain

Dr. Clayton Roach: Most of the time it’s coming from what’s happening or not happening in the rear, the back part of the foot. And that’s what controls your mechanics. So that’s one thing that I would say to that. If you’re having pain in the foot you need, if it’s a mechanical problem, we need to have a mechanical evaluation and perhaps a mechanical solution to fixing how the bones are moving in the back of the foot.

Dr. Ben Boudreau: [00:11:38] Yeah, and so definitely is the bottom of this kinetic chain. The bottom of the chain is Malil lines to get a dip there. And above that area is going to be malaligned as well. It’ll lead to hip issues and that’s how it connects low back. And you can see in the photo to the left there, you see how the foot is turned in. It causes that lower leg to also turn in as well, causing a hip drop. And then the compensation’s work up into the upper body there. And so these compensation patterns have to be corrected. The more areas that you correct, the less pain that you have. And you’re better able you’ll be at sort of distributing those ground reaction forces with every step that you take.

Chiropractic Treatment – Lower Kinetic Chain

Dr. Ben Boudreau: [00:12:19] And that’s how it’s connected to the spine. Right. Normally, for people who have chronic ankle issues, it’s a lot of pain can really stem from your lack of balance and proprioception. And so one of the first areas that you should really begin to improve on, as well as getting these structural issues sorted out, is your balance because you’re going to want to keep standing or going to want to have proper stumpage. And if you’re not, those compensation’s are going to go up to your spine. So you want to make sure that the a good balance in your own two feet and that you’re correcting the issues at the same time.

Dr. Clayton Roach: [00:12:56] And get great footwear. Right. Like make sure the footwear that you’re wearing is the footwear that’s appropriate for your foot buying the cheapest. Buy one, get the second one for a loonie type of deal may not always be the best solution for what might be the best solution financially, because it might be cheaper, but you’re going to pay the price along the way if you don’t have the proper footwear. So always be careful about that. And never underestimate the power of the pelvis because it’s a far bigger structure than feet in terms of how it may be dysfunctional and controlling the way that you walk your game, which is basically going to create a manifestation of pain in the feet that’s coming from elsewhere. Next, go ahead buddy.

Bedford Chiropractors Speak About Flat Feet

Dr. Ben Boudreau: [00:13:40] Yes, so are you born flat footed? What is the cause? You know, so funny thing, all children are born with flat feet. So this is something that not a lot of people tend to think about. And it’s only at the age of three where you actually begin to develop that arch. And people often say, oh, I’m flat footed, I have a great arch, et cetera. Yes, it could be true. But there are a lot of factors over the course of your lifetime that will help determine if are just going to be healthy or if are just going to be poor.

Yeah. And so somebody asked, what’s the difference between a rigid flat foot and a flexible flat foot? So a rigid flatfoot stays flat. So even when your foot isn’t on the ground, your foot is still flat. And then when you place it on the ground, it’s flat, a flexible flat, but is when the foot is flat on the ground. But then as soon as you lift or stand in their tippy toes, that arch activates and you get your arch back. Yeah.

Chiropractic Definition – Flat Feet

Dr. Clayton Roach: [00:14:43] Yeah. So one of the things that over time can create a flat foot and we’re almost beating a dead horse here, but it’s going to be mechanical. And what happens is over time because of bad pelvic mechanic, because your knee is turning in, your foot is forced to and the word is called pronate. And the more your foot pronate, then the more the ligaments inside that are supposed to hold your bones together and create that arch they start to get. So now think about putting a bunch of bones in a bag of plastic and there’s just no structure there, just free to move everywhere.

So as soon as your weight-bearing foot comes flat on the ground, one thing I will say is also if you don’t have rearfoot mobility in through here with the calcaneus and the talus, what ends up happening is nothing is happening in the back. And when you walk, your foot comes down like a whip and forces over-pronation and which then creates a laxity in the ligaments over time. So mechanical issues are a huge reason why over time you can have a flat foot and then flat feet then now contribute even more to the problem because now you’re having these issues and you’re having pelvic issues even more pronounced, even though that’s what caused it in the first place. They don’t feed each other.

Chiropractic Treatment – Flat Feet

Dr. Ben Boudreau: [00:16:13] Yeah, and another issue as well, we did the structural issues on the bottom. So there’s all this pressure on those ligaments in the muscles beneath that that then become very sore. You don’t want to use these muscles and ligaments as effectively anymore. And so you got a weakness in those areas below there. And so what some people will do is begin to train that arch, start to rebuild the strength in that arch while at the same time restoring its structure. Right. And so there are many exercises that you can do to help strengthen that arch, namely short foot exercises would be one.

Yeah. So basically what you do is you put a towel on the floor and just drag your front part of the foot closer to the heel. With curling your toes and just creating that arch back and forth and back and forth and also mechanically getting your foot adjusted, this is one of the only cases where I feel like putting an artificial arch in there through thought sometimes is needed because you get somebody who’s 50, 60 years old, who’s got a flat foot. These ligaments have been lax forever. They’re not coming back.

Chiropractic Treatment – Flat Feet Continued

However, you got to be careful in how much effort you put in because if you put too much and you overcorrect, you’re going to feel like you’re walking on a golf ball. It’s not going to be comfortable at all. So you’ve got to work up to it because if you don’t do that, you can start wearing your knees as well.

Bedford Chiropractors Speak About Migraines

Dr. Ben Boudreau: [00:17:46] So phenomenal question. Yeah, great question. So someone posted in the comment section, they asked, could you please talk about migraines? I’m just going to give a quick sort of synopsis of the world of migraines. It’s a very complicated world. And as you can imagine, because the conditions so debilitating. So migraines generally are recurrent headaches that can last between four and 72 hours. Normally, migraines come with an aura. And so this is a sensation that’s either visual sensory speech or language that will appear before the migraine. The example that people will often give is that they will see little white specks.

They know that that’s there or they know that they’re about to have suffered a serious migraine. It can be aggravated, aggravated by many, many different things. And it may present with physiological symptoms such as GI issues like irritable bowel or vomiting.

Chiropractic Definition – Migraines

Dr. Clayton Roach: [00:18:58] Yeah, yeah. I will say, clinically speaking, headaches are far easier to manage than migraines because there are so many external factors. And you can see on the right side there that’s been pointed out and sometimes it’s tough to really pinpoint which external factors one that’s contributing to the migraines for you. One thing I will say is sometimes migraines can be confused, especially if they don’t come with an aura prior. They can be confused as a migraine. But really, they’re just a severe headache.

And because there are mechanical issues with the neck and the musculature that’s not being fixed and now there’s arthritis in there, there could be some suboccipital nerve irritation, some occipital neuralgia that’s mimicking some of the symptoms you would have in regular migraine. And here you are taking migraine headaches and stuff like that. Meanwhile, something that could actually be fixed because it’s actually just a very bad tension, cervical genic type of a headache. So we’ve got to be careful in the diagnosis and getting the correct.

Chiropractic Definition – Migraines Continued

Dr. Ben Boudreau: [00:20:07] Yeah, and so a lot of times a migraine will come on with. Changes in chemicals, changes in routine changes in the environment, so it’s truly important to take into account and have a diary prepared so that you know, what that trigger was that day. If you suffer from that migraine, write it down. And then when you come into the clinic that way, we have a better idea of how we can sort of manage this case because there are so many environmental factors that play a role in so many chemical factors.

One thing I’ll say is that through the research, they’re suggesting that maybe a lack of serotonin, our lack of calcium are contributing factors to the development of migraines. And so you want to make sure that you’re in the proper environment that gives you that energy, that gives you that boost because serotonin is playing a role. You’re going to want to keep it as high as possible. And so that means releasing those happy hormones and getting them moving.

Chiropractic Treatment – Migraines

Dr. Clayton Roach: [00:21:04] And I think that’s one of the reasons migraines are also linked with depression as well, because serotonin is linked with depression. Watching food, one of the one of the ones that can Quiñones would be red wine. That’s a great example. But just bear in mind that the person next to you could be drinking the same one. The person next to you could be exposed to the same barometric pressure shift and they might not get a migraine while you are. And why is that? Well, the reason that could be is because your stress.

The jug is full and there is and when this restaurant is full, it can’t take anything else and then you start to have symptoms because the stress drug is just overflowing and it’s basically it’s too full. And the manifestation of that can be symptoms like headaches, migraines, whatever it is. So just bear in mind, be cognizant of the law that you’re carrying and the things that are in your life. And the more you carry, the less able you are going to be to be able to adapt to your external environment. And I just want to see that, because that’s something that I see a lot. Quick question. The quick answer here. What silents Migraine?

Chiropractic Treatment – Migraines Continued

Dr. Ben Boudreau: [00:22:18] So migraine is when you exhibit all of the symptoms of migraine, but you don’t experience any pain.

Dr. Clayton Roach: [00:22:24] Yeah. So sometimes people only see the squeaky lights, right. You’re only going to see those white little specks. But no, no head pain, so to speak. The migraine pain. Great job Ben on the slide. Anything else?

Dr. Ben Boudreau: [00:22:40] No. I was just about to say it is difficult because of all of those factors. Right. And so that part of the process with migraine case is being able to figure out what’s the environmental factors. We’re trying to decrease the stressors. We’re taking the load off the nervous system. And so we want to be able to figure out how we can increase that load and take it off as much as possible.

Chiropractic Treatment – Migraines Continued

Dr. Clayton Roach: [00:23:01] And I think when chiropractic is successful with migraines, which is very often is because of that. Right. We’re taking away the stress off the nervous system, the musculoskeletal system. And it’s almost like, you know, this all these bubbles around health here that you’ve created or popped some of these bubbles just so that the body is better able to deal with everything that’s coming at it and there’s less stuff coming out of it. So definitely chiropractic can help with that. So, guys, I don’t know if you’re if you’re liking this or not. Hopefully, this is what you expected it to be. And more so if you are enjoying this, just please give us a few thumbs up for sure. And if you’re liking it really a lot, you can also send us a few hearts. Next question. I love this one.

Bedford Chiropractors Speak About Cracking Your Knuckles & Arthritis

Dr. Ben Boudreau: [00:23:50] Yeah. Myth Busters, does cracking your knuckles cause arthritis? Dr. Roach, I’ll let you take this one away.

Dr. Clayton Roach: [00:23:57] Yeah. So you know what’s funny is because. Somebody had told me About a study that had been done at Harvard and I always quoted that study and I kind of took it for granted that the person who told me about that knew what they were talking about I never double-checked it And then at lunch. When you came to see me about this question, I said, was there a study that was done at Harvard yeah this is the one that I’m looking at. So anyway, what they looked at was they looked at people that had cracked their knuckles, the knuckle crack column and the people that did it. And what they found was that the people that did crack their knuckles. Did you guys ready for this?

Chiropractic Definition – Cracking Your Knuckles & Arthritis

Dr. Clayton Roach: [00:24:36] Did not have more arthritis. So, yes, your grandmother or your mother was wrong in telling you that you would get big knuckles or arthritis if you cracked your knuckles.

Dr. Ben Boudreau: [00:24:51] Yeah. So it may Aggravate those around you, but it’s not aggravating your joints and those in your fingers as well. And I mean, this might be a little tidbit. A lot of our you know, a lot of the people that listen to the show have been treated by chiropractors before. But the sound that’s released from that joint when it goes what’s actually released is a CO2 bubble, a bubble that’s built up pressure that builds up in that joint. And when you pull it away, it provides negative pressure on the joints. So it releases carbon dioxide, carbon dioxide.

Chiropractic Treatment – Cracking Your Knuckles & Arthritis

Dr. Clayton Roach: [00:25:33] So that’s probably the highlight question. I really like that question. You guys let us know if you like that question because I guarantee you that many of you thought that if you crack your knuckles, you would create big knuckles or arthritis. And you know what? It makes sense, though, in a way, because movement is life, right? Like if we don’t activate our joints, which is the whole premise of chiropractic, is to activate the joints. You create a better function and when you create a better function. You know, better movement, better function, everything starts to start to get better, so it would have been kind of crazy that moving your joints specifically your knuckles. We’re talking about what would have created arthritis. Great question.

Bedford Chiropractors Speak About Straightening Toes

Dr. Ben Boudreau: [00:26:17] So this one came in, this was a good question, so my toes there in the wrong direction or they don’t seem to be straight for one toe might be crossing over the other toe. You know feet aren’t meant to be pretty, to begin with. But when you start to have issues that affect your structure and are causing an opponent foot, it needs to be taken care of.

And so how would you recommend straightening your toes to restore the mobility in that joint? You need to slowly begin to work on it, not just start by putting something between your toes. Start by loosening it up gradually because you’ll really have a negative impact on the toe if you just go for the gusto right off the bat. So you start by moving it around a little bit, doing a little bit of soft tissue to start.

Chiropractic Definition – Straightening Toes

Dr. Clayton Roach: [00:27:06] Yeah. So one of the reasons that this happens. Imagine this joint here, this space here. What’s happened is like with any arthritic joint, one side of the joint starts to collapse before the other part. So in this example here, the outside, because this is the outside of the foot, has started to collapse before the outside. So what happens? The toe starts to have what’s called a valgus deformity. This is called valgus. OK, now. I had a few patients that actually had surgery on this and they had this bunion removed.

To them, it was the most painful thing that they have ever gone through. One lady said it was to give you this boot and you can’t wear anything on top of it. So it was worse than childbirth. You need to avoid the surgery at all costs. At times, what we can do as chiropractors is mobilize this joint to essentially take the pressure off this area where the joint is so compressed. Once you start mobilizing this area, you may be able to progress to this solution where you’re using spacers in between the toes, because what that will do is tend to create a more parallel joint where the outside and the inside spacing is somewhat even throughout the day while you’re wearing the spacer, therefore offloading decompressing the joint.

Chiropractic Treatment – Straightening Toes

Dr. Ben Boudreau: [00:28:42] And that would be our recommendation for how to begin that process of straightening out that so and then providing a solution to sort of help with that alignment with your spacers. And there are spacers for the first space, the second space all the way down until the last space at the end there. There are many different types you can buy so you can find those at your pharmacy. Your local pharmacy will perhaps find a solution, your podiatrist, et cetera.

Dr. Clayton Roach: [00:29:13] Yeah, I just want to touch back on the question regarding the knuckles. We had a little quick question here. What happens if you crack your neck and back? The issue with that is because we have multiple vertebrae in the neck, so we’ll use a neck, for example. There are seven vertebrae. Let’s see, two of them are not moving well, which a chiropractor would be we would be able to find at an examination of the five other vertebrae. These are the ones moving too much in order to compensate for the two that aren’t.

Chiropractic Treatment – Straightening Toes Continued

Dr. Clayton Roach: When you move your own neck and you swing it around and you hear the noise, the noises coming from the vertebrae, they’re already moving too much because you cannot isolate the two like we do with this chiropractor and put our fingers right in the joint needs to move because you can’t isolate it to that aren’t moving. Well, you’re moving already to hypermobile joints, therefore creating a bigger problem, eventually muscle irritation and inflammation. And what used to feel good when you did on your own is now activating it. So just wanted to say that.

Dr. Ben Boudreau: [00:30:10] It’s also never healthy to just whip your neck, your neck uncontrolled.

Dr. Clayton Roach: [00:30:16] You start to lose friends that way because people are like, man, this guy’s crazy, right? Yeah. So next one. All right. I hope you guys are enjoying this. This is this is good. This is these are really, really good questions. We’re impressed by the quality. Get the questions. Tendinitis in the foot and lower leg question mark. How does it manage? Go ahead, Ben.

Bedford Chiropractors Speak About Tendonitis

Dr. Ben Boudreau: [00:30:40] Yeah. So tendonitis is when a tendon swells, it becomes inflamed and it can occur in any of the tendons in your body. It’s most common around the shoulders, the wrist, the knees, the heels. And there’s one very common one that everybody knows about. And it’s lateral epicondylitis is or your tennis elbow. That’s another form of tendonitis as well. The condition is more likely to stem from the repetition of a particular movement. Overtime. Most people develop tendonitis because of the jobs they do or the Hobie’s, which involve that repetitive motion.

Dr. Clayton Roach: [00:31:19] Yeah, one big one right here is going to be your Achilles, right, your Achilles comes from your account over here and the whole muscle becomes big which you can see here, A big tendon call your Achilles tendon. So any time there is a malalignment of your foot or your back, your foot in reference to your excuse me, your your your leg in reference to your foot, whether there is a virus or a Validus deformity, there’s going to be a strain on your Achilles tendon.

Chiropractic Treatment – Tendonitis

Dr. Clayton Roach: And lo and behold, when they’re straining your Achilles tendon, it can actually also lead to plantar fasciitis as well and vice versa. So a lot of these candidates we talked about in previous Humpday conversations. Start to talk to each other, right, because we’re a closed circuit and everything affects everything. Very important.

Dr. Ben Boudreau: [00:32:14] Yeah, so making sure that you’re correcting those biomechanics super important when it comes to tendinitis, decreasing the inflammation on that tendon as well, will cause the pain to go away. But you’re not going to correct that structure. What they do recommend for tendonitis now is eccentrically loading. So lengthening that tendon for a short period of time, sort of like a stretch. It’s easier to do on the Achilles. It gets a little harder once you get to the elbow because you have to understand the anatomy at that point. But that is the idea, to take as much pressure and load off that tendon so that you’re pulling it properly and it’s not taking the grunt work.

Bedford Chiropractors Speak About Acid Reflux

Dr. Clayton Roach: [00:32:55] Laser tends to help a lot of people with tendinitis, golfers, elbow, tennis, elbow, patellar tendinitis, Achilles tendonitis, shoulder, rotator cuff. So a lot of those soft tissue tendonitis is bursitis is definitely laser is something that you can look at in terms of managing this condition. But always ask, why has that happened? Why is the fire there? What is the cause of the fire? And this guy here many times can point that out where they come from mechanically. Alrighty, This was a more medically related question if you want, and sometimes some of the side benefits of seeing the chiropractor, one of the things that I’ve seen in my career is chiropractic.

Many times have been able to help people with GERD, which is called gastro-oesophageal reflux disease, which someone is synonymous with acid reflux. And as we know now, we knew this before, but with John, he said acid reflux is not necessarily too much acid. It’s actually not enough acid. But what will happen sometimes the reason people will get GERD is because of a high burn hiatal. Herning And what happens is you have the diaphragm here. And what happens, there’s a part of the stomach that starts to poke through the diaphragm.

Chiropractic Definition – Acid Reflux

Dr. Clayton Roach: What I’ve done in the past and we were shown this move at one of the seminars, is you can lay a person on their back on the table and use the drop. And what you do is you just like the car, you put your hand right underneath the ribcage and there’s a quick pull down as a table drops.

And what that can do is many times, take the stomach, push it down and get it out of where it’s caught in the diaphragm. So the diaphragm is almost like a net, but it’s supposed to be a tight net. But what happens sometimes there are holes and the stomach will come through that hole just like any hernia. Right. Any hernia is basically a piece of viscera that goes through that flesh. So by pulling directly downwards on that stomach and using the drops very gently and many times that doesn’t hurt. I’ve seen many people anecdotally at the clinic get much better. And there are many chiropractors I could speak to them to that effect as well.

Chiropractic Treatment – Acid Reflux

Dr. Ben Boudreau: [00:35:30] Great question, great clinically oriented question. Yeah, I believe that was posted on our Facebook page. So thank you so much for a question like that.

Dr. Clayton Roach: [00:35:42] And one thing I want to say is chiropractors don’t treat acid reflux. What we’re doing is removing the interference. One thing we definitely want to do is acid reflux. If it’s recurring instead of just taking antacids or what we call proton pump inhibitor medication. We want to make sure you’re understanding why is that reflux there? You don’t want to end up with gastric ulcers that are eating away at the lining of your stomach, all the while not really noticing

The fact that there is there’s an ulcer today because there are no symptoms because the proton pump inhibitors are taking or taking the symptoms, what you think is good. And meanwhile, your stomach, you’re starting to have a hole in there because of the ulcers. So that knows you definitely want to root out the red flags, even though chiropractic may be helping. You might just be, you know, taking away the symptom. And there’s another issue that you want to make sure that you solve.

Bedford Chiropractors Speak About Making A diagnosis

Dr. Clayton Roach: [00:36:37] One last question that we had, and I think there might be a little bit of a misunderstanding, the question is why are MDs and nurse practitioners the only ones authorized to make diagnoses? Chiropractors? It’s well within our scope to make diagnoses. We are allowed to diagnose massage therapists are not allowed to diagnose, but chiropractors are allowed sometimes still when it comes to Veterans Affairs, when somebody is dealing with Veterans Affairs and they need a report, sometimes that organization will dictate that that diagnosis comes from a medical doctor.

We are a D.C. doctor of chiropractic, but sometimes some organizations dictate that the diagnosis comes from a medical doctor. And so, you know, in that case, even though our scope says we can diagnose, that particular organization may not accept the diagnosis and they’ll say, no, that paperwork needs to be filled out by a medical doctor. So I think that’ll clarify that question.

Chiropractic Diagnosis

Dr. Ben Boudreau: [00:37:39] Yeah. Conditions that we can diagnose. We were trained to diagnose these types of conditions using our physical exams and neurological exams, as well as our palpation skills for which we are well aligned to do so. Today, I diagnose someone with the cervical ridiculous apathy involving the radial nerve at the C5 C6 level, which is something that perhaps any other professional outside of doctor chiropractic would not be able to go as far and diagnose something so specific. And so we know exactly what our scope is and where our profession lies. And so when it comes to diagnosis, we are perfectly capable of diagnosing conditions that arise from the musculoskeletal skeleton and system.

Dr. Clayton Roach: [00:38:23] And one thing you guys might not know is in the chiropractic curriculum, which, by the way, most of the time people get a full bachelor’s degree and then we go, you know, five academic years into four are in our curriculum. We actually have more lecture hours in radiology reading than medical doctors do. And it’s not just to compare is just, you know, sometimes people don’t realize that, you know, for us to look at an X-ray, it’s well within our scope. And I say that not to compare, but sometimes people don’t know that they can bring their report or their X-ray and have us make a very good opinion on what’s there when it’s mechanically related.

Chiropractic Diagnosis Continued

Dr. Clayton Roach: Now, sometimes, you know, we’ll be looking at a chest and we’ll see cancer there. Well, that’s not in our scope to manage it, but it’s in our scope to catch it if it’s there, because we’re responsible for what we see on an X-ray. So definitely, definitely important for you guys to know that.

Dr. Ben Boudreau: [00:39:16] I’m definitely trained to refer if we need to be trained enough to be able to recognize when something isn’t within our scope. And that would be of going through that schooling. And that program was learning how to not only take in a good patient, but you can help but refer the ones that need someone else out as promptly as possible,

Dr. Clayton Roach: [00:39:39] Which at times is, you know, just as helpful when you can recognize that that person needs to be referred out. Right. So that ends our questions tonight, folks. I think that was very useful. I think once we get used to doing this and I think you guys did a great job at getting us some great questions, kept us on our toes, definitely had to research some of these in order to answer it fully. Not that we didn’t know the answer, but to make sure that we didn’t miss anything in terms of management diagnosis. And some of the sites had been used. And I was very descriptive. So thank you for that. What else?

Chiropractic Diagnosis Continued

Dr. Clayton Roach: Yes, we’ll definitely do one of these again, we’re definitely going to do other interviews as well. So, guys, if you haven’t done so, get your folks on board, share these Humpday conversations, because we have definitely had people very grateful that someone had share Humpday conversations with them because they weren’t part of the original crew. OK, so they got access to these Humvees because somebody dared to share. So for that, we are very grateful. We are very grateful for the trust you put in us to disseminate this information and trust it is true. And we do this out of love for you guys and for the passion that we have.

And I know I’m speaking for Ben as well, but, you know, definitely, it’s felt and that’s why we’re we’re spending this time when we could be doing something else. But we actually love doing this. And I love your feedback. So don’t be afraid to send us a few hearts. If you’re loving these and thumbs up and questions or concerns or things that we could do differently.

Chiropractic Discussion Conclusion

Dr. Ben Boudreau: [00:41:22] Yeah, totally, just to summarize, I mean, we love doing this, of course, and the fact you guys were able to send in such great questions over the last week. We love answering these and we love doing it. And so we love your participation. And we’re going to try and do a question and answer Humpday more often. That way we can sort of getting a gauge for what it is that you guys are interested in and what can we move away from and what can we focus a little bit more on?

Because really this is all about educating you guys and giving guys that opportunity to learn about what chiropractic is all about and also to share this information so you guys can ask better quality questions, get better quality answers. Take care, guys. Thank you so much for the questions and let us know if you need anything. Take care. Bye-bye.

Dr. Clayton Roach: [00:42:15] What’s up? Listen, if you like this episode, you’ll probably like the other ones, chances are pretty good. So here’s what you need to do. You need to like us and follow us on Facebook. Following means, you get notified when these two guys are alive. Next, family, friends, you need to share these episodes because you never know. You might help them because they need this information as well. And guys, if you ever miss an episode, make sure you subscribe to us on YouTube. That way, you can watch the episode over and over and over again. Guys, we love you and appreciate you. Take care.