We are in a current state of crisis when it comes to paying for our healthcare. Learn the simple truth that has led to this situation and more importantly find out what could be a major factor in the healing of this national disaster.
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.
Learn more at www.HyProCure.com.
The foot is the foundation to the body. The alignment of the foot is crucial for proper foot function. This lecture discusses normal and abnormal alignment and the exact cause that leads to a faulty foot structure.
Learn more at www.GraMedica.com.
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.
Learn more at www.HyProCure.com.
The foot is the foundation to the body. The alignment of the foot is crucial for proper foot function. This lecture discusses normal and abnormal alignment and the exact cause that leads to a faulty foot structure.
Learn more at www.GraMedica.com.
Lateral Ankle Sprains (LAS) are one of the most common sporting injuries across all sports, and it is an injury that has a high recurrence rate. In my recent presentation on LAS, I cover the current evidence supporting high-dose exercise and bracing/taping to reduce the risk of recurrences. I also cover some simple ways to decide on whether or not the injured patient is ready to return back to sport following a LAS. I hope you enjoy the information presented.
Flat feet can have a destructive effect to the body. Learn about the cause of flat feet and various treatment options including HyProCure extra-osseous talotarsal stabilization.
Back pain is a very common condition affecting millions of people yet it seems that most treatment cannot eliminate the source of the pain. View this presentation to learn more.
DR. GIRISH MOTWANI
Consultant Foot & Ankle surgeon (Paediatric & Adult)
1)Sushrut Hospital, Research Centre & PostGraduate Institute of Orthopaedics, Nagpur west
2)Aman hospital,Nagpur east
3)South point clinic, Nagpur south
Common Running Injuries & What's the long term fix?GraMedica
Running is a beloved activity for millions of people, however many are sidelined because of injuries. Many continue to run despite the pain until they destroy a body part. Take a look at this presentation to find out the top injuries and to find a real solution to keep you running.
Knee replacement Treatment by High Beam Global IndiaAbhik Moitra
Knee Replacement Surgery is a very common sugery in the field of healthcare. We, High Beam Global India wants to bring all about this procedure in front of you.
Healthcare costs are out of control. The majority of orthopedic conditions are secondary symptoms whereas the underlying etiology is left under-treated or ignored. View this presentation to learn more.
Diabetes has already reached global epidemic proportions. Pills aren't the long-term solution and diet alone doesn't work. The missing piece is exercise. But what if you hurt when you walk? Read this presentation to find the answer.
Patient's Guide to HyProCure - Minimally Invasive Solution to Misaligned Feet.GraMedica
The stability and alignment of the ankle bone (talus) on the heel bone (calcaneus) is extremely important. Ankle bone misalignment will lead to a variety of symptoms within the foot and will also negatively affected the knees, hips, and back. HyProCure is the proven solution to internally realign and stabilize the ankle bone while still allowing a natural range of motion.
Lateral Ankle Sprains (LAS) are one of the most common sporting injuries across all sports, and it is an injury that has a high recurrence rate. In my recent presentation on LAS, I cover the current evidence supporting high-dose exercise and bracing/taping to reduce the risk of recurrences. I also cover some simple ways to decide on whether or not the injured patient is ready to return back to sport following a LAS. I hope you enjoy the information presented.
Flat feet can have a destructive effect to the body. Learn about the cause of flat feet and various treatment options including HyProCure extra-osseous talotarsal stabilization.
Back pain is a very common condition affecting millions of people yet it seems that most treatment cannot eliminate the source of the pain. View this presentation to learn more.
DR. GIRISH MOTWANI
Consultant Foot & Ankle surgeon (Paediatric & Adult)
1)Sushrut Hospital, Research Centre & PostGraduate Institute of Orthopaedics, Nagpur west
2)Aman hospital,Nagpur east
3)South point clinic, Nagpur south
Common Running Injuries & What's the long term fix?GraMedica
Running is a beloved activity for millions of people, however many are sidelined because of injuries. Many continue to run despite the pain until they destroy a body part. Take a look at this presentation to find out the top injuries and to find a real solution to keep you running.
Knee replacement Treatment by High Beam Global IndiaAbhik Moitra
Knee Replacement Surgery is a very common sugery in the field of healthcare. We, High Beam Global India wants to bring all about this procedure in front of you.
Healthcare costs are out of control. The majority of orthopedic conditions are secondary symptoms whereas the underlying etiology is left under-treated or ignored. View this presentation to learn more.
Diabetes has already reached global epidemic proportions. Pills aren't the long-term solution and diet alone doesn't work. The missing piece is exercise. But what if you hurt when you walk? Read this presentation to find the answer.
Patient's Guide to HyProCure - Minimally Invasive Solution to Misaligned Feet.GraMedica
The stability and alignment of the ankle bone (talus) on the heel bone (calcaneus) is extremely important. Ankle bone misalignment will lead to a variety of symptoms within the foot and will also negatively affected the knees, hips, and back. HyProCure is the proven solution to internally realign and stabilize the ankle bone while still allowing a natural range of motion.
HyProCure is a titanium stent that is inserted into the naturally occurring space between the ankle and heel bones. It instantly realigns and restores the natural alignment to the foundation joint of the body. This presentation helps to clarify certain myths and misconceptions state from the uninformed.
HyProCure is a titanium stent that internally realigns and stabilizes the hindfoot. It's been proven to decrease the strain acting on the plantar fascia and posterior tibial tendon. It re-balances the weightbearing forces acting on the foot. Normalizes foot motion. HyProCure has the greatest success rate of any sinus tarsi stent.
Root Cause Orthopedics - Minimally Invasive SolutionGraMedica
There are many healthcare professionals addressing the symptoms of musculoskeletal disease to the few who are reducing or eliminating the underlying cause. View this slideshow to find out about the most powerful minimally invasive orthopedic solution.
The stabilization of the talus is extremely important to repair the underlying cause to many lower extremity pathologies. The preferred methods is to realign and stabilize the talus without destroying any joints and still allowing joint motion. This is a comparison of HyProCure and Calcaneo-stop. One of these devices far exceeds the other. You be the judge.
Foot pain severely affects our quality of life. Take a look at this presentation to find out the painful parts of the foot. More importantly, find out why they occur and what can be done to fix them.
The talotarsal joint is about the most important weightbearing joint of the body. Misalignment of this joint alone will lead to a chain reaction of destruction throughout the body. View this presentation to learn more.
Pain is a warning signal that something is wrong. Our bones should not hurt when they grow and our legs should not hurt when we exercise. View this presentation to learn more.
Numbness, pain or burning are warning signals from our nerves that something is wrong. The goal of treatment is to find out what is wrong and to fix it, not to just mask or cover up the warning signs. View this presentation to learn more.
Risks and Potential Complications of EOTTS TreatmentGraMedica
EOTTS has been proven to be a safe and effective treatment option for talotarsal displacement. This presentation provides a critical look at the possible risks and complications.
The partial dislocation of the ankle bone on the heel bone leads to destructive forces that act on our feet, knees, hips and back. This presentation discusses the insertion of a stent into a naturally open space that instantly stabilizes the ankle bone while allow, as close as possible, the natural motion to occur.
EOTTS - HyProCure and Plantar FasciopathyGraMedica
Talotarsal displacement leads to increased strain to the medial band of the plantar fascia. Type II Extra-Osseous TaloTarsal Stabilization with HyProCure led to a 33% decrease in strain to the medial band of the plantar fascia and could therefore be used in the treatment of plantar fasciopathy.
Learn more at www.GraMedica.com.
Tarsal Tunnel Syndrome - Role of Extra-Osseous TaloTarsal StabilizationGraMedica
Talotarsal displacement leads to an increase in pressure within the tarsal tunnel and porta pedis. This directly leads to compression of the posterior tibial nerve that gives sensation information from the bottom of the foot.
Extra-Osseous TaloTarsal Stabilization - HyProCure: The Scientific Evidence i...GraMedica
The mounting scientific, published research has proven the effectiveness and efficacy of extra-osseous talotarsal stabilization with HyProCure. This is a life-changing procedure. Over 20,000 procedures have been performed with not one significant complication (fracture, bone infection, amputation).
Learn more at www.GraMedica.com.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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39. But the majority of patients
end up with pain
as their reward for exercising.
40. Pain ends our excitement to
exercise really fast.
So we end up right back where we started –
Nowhere.
41. 1 out of 2 people end up with all
sorts of musculoskeletal issues.
42. This leads us down another
“rabbit hole” of insanity.
The costs associated with
musculoskeletal problems.
43. In 2008
110,340,000 individuals
complained of one or more
symptoms to their
musculoskeletal system.
That number will be significantly higher in 2013.
44. In other words:
every other person
over 18 years old
has a musculoskeletal complaint.
46. 3 out of 4 persons (69%) aged 75
years or older report one or more
musculoskeletal symptoms.
So, the older we grow,
the more likely we are to develop
a musculoskeletal problem.
49. 17 million (17,000,000) adults 18
years and older reported that
they have difficulty performing
routine daily activities of life
without assistance
all because of their
musculoskeletal complaints.
50. The direct costs for treating
musculoskeletal disease was
$575 billion
($576,000,000,000.00)
and an additional $373.1 billion
($373,100,000,000.00)
on indirect costs.
51. The total costs of
musculoskeletal disease to
society was estimated at
$950 billion
($950,000,000,000.00)
in 2010.
It is over $1 trillion today.
65. is what leads to
the development of these
chronic secondary
musculoskeletal symptoms.
66. People who have
a misaligned hindfoot
are punished for
walking, running or exercising.
67. So we have to look at
back, hip, knee and foot
pain
as symptoms.
68. Pain
is a warning signal
that something is wrong.
69. If we only address the
symptoms
without eliminating
the source of the symptoms,
then the symptoms will just
reoccur.
70. Just like we can keep putting air
into a tire with a slow leak, but
the air will just escape and the
tire will go flat again.
71. We can invent all sorts of ways to
put air in the tire, yet we ignore the
fact that it is just a temporary fix.
72. Eventually, the small hole
progressively gets larger and the
tire is completely destroyed.
73. If we could have repaired the
hole when it was smaller it would
have been a much easier fix than
having to replace the entire
wheel.
74. The same is true with our bodies.
It’s easier to fix a mild deformity
than to wait for it to become a
severe deformity.
75. As the population
continues to increase
and the
lifespan continues
to grow longer,
the already overwhelming costs
of treating musculoskeletal
diseases will become
insurmountable.
76. It seems that no matter how hard
the medical establishment tries,
they are unable to provide
long-term solutions.
77. We have to change our thinking
and look to eliminate, or to
decrease as much as possible,
the underlying etiology.
78. Let’s look at musculoskeletal
disease from another angle.
79. Not to just focus our attention to where the pain
is, but to look at the entire structure.
80. Walking is the second most
common conscious function of
our body.
Breathing is number one.
86. Problem with observation or
“supervised neglect” is that while
standing, walking, or running
those excessive pathologic
forces are destroying the body.
87. Also, there is progressive
destruction to our body.
That is why the older we get, the
more likely we are to have
musculoskeletal disorders.
88. Arch supports?
Where’s the proof of hindfoot
realignment.
Even the best custom-fit device
cannot realign and maintain that
alignment of the hindfoot.