Over 31 million Americans suffer from back pain, leading to significant work loss and healthcare costs, with many treatments focusing on symptoms rather than the underlying causes. A misalignment in the feet can lead to a chain reaction causing back pain, emphasizing the importance of addressing foot health. The hyprocure® procedure offers a minimally invasive solution to realign the ankle and restore proper spinal function, potentially alleviating chronic back pain.

1. Back Pain
The Foot Connection
Michael E. Graham, DPM, FACFAS, FAENS

2. Back Pain Facts
Right now there are
over 31 million (31,000,000) Americans
suffering with back pain.

3. Back Pain Facts
50% 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. Back Pain Facts
The second most common reason for visits
to the doctor is because of
back pain.
(1st upper respiratory problems)

5. Back Pain Facts
80% of the population will suffer from back
pain at some time during their lives.

6. Back Pain Facts
Americans spend
$50 billion ($50,000,000,000)
trying to eliminate their back pain
every year.

7. Back Pain Facts
Nearly 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. 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. Let’s take a new look and try to
figure out why
more than
1 in 7 adults
suffer with back pain.

10. Why is the back prone to
developing so many different
problems?

11. It’s about balance and
alignment.

12. When the back
is properly
aligned, there is
an acceptable
force acting on
the discs in
between each
back bone.

13. There is no
excessive strain
on the ligaments
connecting each
backbone.

14. The muscles
don’t have to
constantly
contract to try
and maintain the
alignment of the
back.

15. How does the spine become
misaligned?

16. It is usually
blamed on an
alignment issue
with the pelvis.

17. But if you really
want to find the
source of
musculoskeletal
misalignment,
you have to start
at the
foundation of the
body.

18. Our feet.

19. The feet form the
foundation to our
body.

20. Aligned Hindfoot Misaligned Hindfoot
A misaligned hindfoot will lead to a
chain reaction of misalignment up
the musculoskeletal system.

21. The ankle bone (talus) should sit on
top of the heel bone (calcaneus).

22. There are specific measurements to
verify normal alignment.

23. A look at the top view-
the Talar 2nd Metatarsal angle
should be < 16 degrees.

24. A look at the side view-
the Talar Declination Angle
should be < 21 degrees.

25. Let’s connect the
dots

26. When the ankle bone (talus) slips off of its
normal alignment on the heel bone
(calcaneus),

27. the foundation drops out from under
the leg bones (tibia/fibula).

28. This forces the leg bones
(tibia/fibula) to turn inward and also
drop down.

29. The leg bone is connected to the
thigh bone (femur).

30. When the leg bones
(tibia/fibula) drop
down, the thigh bone
(femur) also drops
down and may also
turn inward.

31. The thigh bone is
connected to the
pelvis.

32. If the thigh bone drops
down, this forces the
pelvis to tilt.

33. The majority of
people with back pain
relate increased
symptoms and pain
with increased
standing and/or
walking.

34. The more they stay off their feet,
the less the pain.

35. So the difference between being off
of our feet versus on our feet is?

36. When we are off our feet, the foot
misalignment is eliminated.

37. Standing introduces the foot
misalignment component.

38. So why do most treatments fail to
permanently eliminate chronic back
pain?

39. They are only focused on the
symptom
and not the
source.

40. You can keep putting air in a tire
that has a hole, but the air will keep
leaking out until the hole is patched.

41. How can we re-align the hindfoot?

42. The first step is to make sure to wear
good shoes that aren’t worn out.

43. Maybe an arch insert will do the trick,

44. But when those treatments don’t
work, what else can be done?

45. We’d like to introduce you to a
minimally invasive, scientifically
proven procedure.

47. HyProCure ®
is a titanium stent that is inserted into a naturally
occurring space (sinus tarsi) between the ankle &
heel bones. This minimally invasive, soft tissue
procedure instantly maintains the natural opening
of the sinus tarsi while restoring the normal
motion and alignment of the hindfoot bones.

48. 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

49. HyProCure ®
+ =
is the only extra-osseous talotarsal stabilization
device that works with the normal biomechanics,
unlike other devices that work against the normal
function, which often leads to failure of the device.

50. While we can’t ignore that fact that the
damage to the back must be addressed, we
also cannot ignore the trauma inflicted on
the back as a result of faulty foot alignment.

51. Misaligned - displaced Realigned - stabilized
The insertion of HyProCure realigns ®
the ankle bone on the heel bone.

52. This restores the foundation to the
leg, thigh and pelvis.

53. Instantly, the strain
on ligaments,
muscles and discs of
the back are
decreased while
standing and
walking.

54. If you, or someone
you know, suffers
from back pain,
misaligned feet
may be the cause.

55. For more information and to find
a HyProCure Specialist near you,
®
please visit:
www.HyProCure.com