Back Pain - The Foot Connection


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Back pain affects millions of people who spend billions of dollars trying to end the pain. Unfortunately, for many the pain never seems to end, that is because attention is focused on the symptoms and not the source of the symptom. This lecture identifies the source of back pain and more importantly, it provides a life-long solution.

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Back Pain - The Foot Connection

  1. 1. Back PainThe Foot ConnectionMichael E. Graham, DPM, FACFAS, FAENS
  2. 2. Back Pain Facts Right now there areover 31 million (31,000,000) Americans suffering with back pain.
  3. 3. Back Pain Facts50% of the work force complains of back pain symptoms each year.Back pain is one of the most common reasons for missed work. 1.2 billion (1,200,000,000) work days are lost each year due to chronic back and neck pain.
  4. 4. Back Pain FactsThe second most common reason for visits to the doctor is because of back pain. (1st upper respiratory problems)
  5. 5. Back Pain Facts80% of the population will suffer from back pain at some time during their lives.
  6. 6. Back Pain Facts Americans spend $50 billion ($50,000,000,000)trying to eliminate their back pain every year.
  7. 7. Back Pain FactsNearly 1 million (1,000,000) spinal surgeries are performed a year in the US alone.300,000 Americans have surgery for herniated disks @$10,000 a procedure. A spinal fusion is $60,000 per procedure for hospital costs alone.
  8. 8. Back Pain Facts In 2008, on an average day there were 20,000 visits to the emergency room for back pain and 6,500 individuals were hospitalized.That means 7,300,000 patients a year were treated at the emergency room and 2,372,500 were admitted.
  9. 9. Let’s take a new look and try to figure out why more than 1 in 7 adults suffer with back pain.
  10. 10. Why is the back prone todeveloping so many different problems?
  11. 11. It’s about balance and alignment.
  12. 12. When the back is properlyaligned, there is an acceptableforce acting on the discs in between each back bone.
  13. 13. There is noexcessive strainon the ligamentsconnecting each backbone.
  14. 14. The muscles don’t have to constantly contract to tryand maintain thealignment of the back.
  15. 15. How does the spine become misaligned?
  16. 16. It is usually blamed on analignment issuewith the pelvis.
  17. 17. But if you really want to find the source of musculoskeletal misalignment,you have to start at thefoundation of the body.
  18. 18. Our feet.
  19. 19. The feet form thefoundation to our body.
  20. 20. Aligned Hindfoot Misaligned HindfootA misaligned hindfoot will lead to achain reaction of misalignment up the musculoskeletal system.
  21. 21. The ankle bone (talus) should sit on top of the heel bone (calcaneus).
  22. 22. There are specific measurements to verify normal alignment.
  23. 23. A look at the top view-the Talar 2nd Metatarsal angle should be < 16 degrees.
  24. 24. A look at the side view-the Talar Declination Angle should be < 21 degrees.
  25. 25. Let’s connect the dots
  26. 26. When the ankle bone (talus) slips off of its normal alignment on the heel bone (calcaneus),
  27. 27. the foundation drops out from under the leg bones (tibia/fibula).
  28. 28. This forces the leg bones(tibia/fibula) to turn inward and also drop down.
  29. 29. The leg bone is connected to the thigh bone (femur).
  30. 30. When the leg bones (tibia/fibula) dropdown, the thigh bone (femur) also drops down and may also turn inward.
  31. 31. The thigh bone isconnected to the pelvis.
  32. 32. If the thigh bone drops down, this forces the pelvis to tilt.
  33. 33. The majority ofpeople with back pain relate increased symptoms and pain with increased standing and/or walking.
  34. 34. The more they stay off their feet, the less the pain.
  35. 35. So the difference between being off of our feet versus on our feet is?
  36. 36. When we are off our feet, the foot misalignment is eliminated.
  37. 37. Standing introduces the foot misalignment component.
  38. 38. So why do most treatments fail topermanently eliminate chronic back pain?
  39. 39. They are only focused on the symptom and not the source.
  40. 40. You can keep putting air in a tire that has a hole, but the air will keepleaking out until the hole is patched.
  41. 41. How can we re-align the hindfoot?
  42. 42. The first step is to make sure to wear good shoes that aren’t worn out.
  43. 43. Maybe an arch insert will do the trick,
  44. 44. But when those treatments don’t work, what else can be done?
  45. 45. We’d like to introduce you to aminimally invasive, scientifically proven procedure.
  46. 46. HyProCure ®is a titanium stent that is inserted into a naturallyoccurring space (sinus tarsi) between the ankle & heel bones. This minimally invasive, soft tissueprocedure instantly maintains the natural opening of the sinus tarsi while restoring the normal motion and alignment of the hindfoot bones.
  47. 47. HyProCure ®has been used safely and effectively in thousands of pediatric and adult patients since 2004. Extra-Osseous Talotarsal Stabilization using HyProCure in Adults: A 5 Year Retrospective Follow-up Journal of Foot and Ankle Surgery – Vol. 51, (1), pages 23-29, January 2012 Stabilization of Joint Forces of the Subtalar Complex via the HyProCure Sinus Tarsi Stent Journal of American Podiatric Medical Association, Volume 101, No. 5, Pages 390-399, Sept/Oct 2011
  48. 48. HyProCure ® + = is the only extra-osseous talotarsal stabilization device that works with the normal biomechanics, unlike other devices that work against the normalfunction, which often leads to failure of the device.
  49. 49. While we can’t ignore that fact that thedamage to the back must be addressed, we also cannot ignore the trauma inflicted onthe back as a result of faulty foot alignment.
  50. 50. Misaligned - displaced Realigned - stabilizedThe insertion of HyProCure realigns ® the ankle bone on the heel bone.
  51. 51. This restores the foundation to the leg, thigh and pelvis.
  52. 52. Instantly, the strain on ligaments,muscles and discs of the back are decreased while standing and walking.
  53. 53. If you, or someone you know, suffers from back pain, misaligned feetmay be the cause.
  54. 54. For more information and to finda HyProCure Specialist near you, ® please visit: