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.

1. Hyperpronation.com
Root-Cause Orthopedics

2. Hyperpronation.com
Cutting the tops of the weeds.
Ameliorating the Symptom
Temporary, short-term solution

3. Hyperpronation.com
Eliminating the root-cause.
Removing the underlying cause.
Permanent, long-term solution

4. Hyperpronation.com
The ultimate “treatment” success
stems from the elimination of the
underlying cause, not from the
amelioration of symptoms.

5. Hyperpronation.com
What is the leading complication
of musculoskeletal“treatment”?

6. Hyperpronation.com
Recurrence
• Spine surgery
• Hip surgery
• Knee surgery
• Ankle surgery
• Foot Surgery

7. Hyperpronation.com
Why is the
“orthopedic industry” challenged?

8. Hyperpronation.com
The primary concern is limited to
symptom relief, not the reduction
or elimination of the cause.

9. Hyperpronation.com
“The Cause”
In order to achieve a greater long-term
success in the treatment of orthopedic
pathologies, we must discover the
underlying etiologic factors that have led to
the formation of secondary pathologies.

10. Hyperpronation.com
For instance…
Why did this patient
develop an ulceration at
that specific location of
each foot?

11. Hyperpronation.com
Think Root-Cause!
Is that a diabetic ulcer? Or, is it
an ulcer that occurred in a
diabetic patient?
Not all diabetics end up with
foot ulcers? Why? Because
diabetes is a co-morbidity but
not the only etiologic factor.
Will this ulcer resolve with
better control of diabetes?
Or do you think there are
other contributing factors?

12. Hyperpronation.com
Think Root-Cause!
The specific etiology of
these ulcers is not a
vascular or tissue healing
issue.
Rather, it is the repetitive
excessive forces acting on
the tissue.

13. Hyperpronation.com
What do you think the long-term
outcome will be?
Even the “average”
healthcare provider has a
pretty good chance to get
these ulcers to heal. The
successful provider will
reduce or eliminate the
excessive forces that are
acting on that specific
area.

14. Hyperpronation.com
3 Basic Tenants of orthopaedia
What is deviated – make straight
What is unstable – make stable
Joint preservation over joint destruction

15. Hyperpronation.com
It is osseous or joint
malformation and/or instability
that leads to soft tissue adaptation.
According to Davis’ Law

16. Hyperpronation.com
In other words:
trying to “fix” the soft tissues
without addressing deviated
osseous structures or joint instability
will lead to recurrence of the soft
tissue pathology.

17. Hyperpronation.com
The primary focus in the treatment of
orthopedic related deformities is to:
Realign and stabilize osseous structures,
while preserving a natural range of
motion, when possible.

18. Hyperpronation.com
Sounds good, but where do we
go from here!

19. Hyperpronation.com
This takes us to the most complicated
and important joint of the body
-The Foundation Joint-

20. Hyperpronation.com
It all begins with the most abused
and neglected part of our body -
OUR FEET!

21. Hyperpronation.com
The weight of the entire body,
when standing, walking, or running,
rests on the talotarsal joint (TTJ).

22. Hyperpronation.com
The stability and alignment of the TTJ is
crucial to an alignment or misalignment to
the
foot
ankle
knee
hip
pelvis
back

23. Hyperpronation.com
Let’s take a closer look -

24. Hyperpronation.com
Can you pick which foot has
a stable and aligned TTJ and
which foot has a misaligned TTJ?

25. Hyperpronation.com
Stable and aligned TTJ

26. Hyperpronation.com
Unstable and misaligned TTJ

27. Hyperpronation.com
The only difference between the aligned verse
misaligned foot is:
TTJ is aligned. The talar facets
are in constant congruent
contact with the calcaneus and
navicular (tarsal mechanism).
TTJ is misaligned. The talar
facets are no longer in constant
congruent contact with the
calcaneus and navicular (tarsal
mechanism).

28. Hyperpronation.com
Radiographic Proof-Evidence
• Open sinus tarsi
• Talar declination angle
(<21°)
• Cyma line
• Navicular position
• Aligned joint facets
• Talar 2nd Metatarsal Angle
(T2MA)
– Normal should be < 16
– Ideal is around 3-6
– Abnormal > 16

29. Hyperpronation.com
See the difference?
• Obliterated sinus tarsi
• Dropped navicular
• Deviated Cyma line
• Displaced articular
facets
• Talar declination > 21
Aligned TTJ
Misaligned TTJ

30. Hyperpronation.com
Transverse Talar Displacement
Normal < 16 degrees Abnormal > 16 degrees
Aligned TTJ Misaligned TTJ

31. Hyperpronation.com
A hypermobile TTJ
leads to the redistribution of the
forces acting on the bones, joints,
and supporting soft tissues.

32. Hyperpronation.com
Let’s connect
the dots

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

34. Hyperpronation.com
this drops the foundation out from
under the leg bones (tibia/fibula).

35. Hyperpronation.com

36. Hyperpronation.com
then the knees
may turn in

37. Hyperpronation.com
then the hips
turn in

38. Hyperpronation.com
then the pelvis
tilts

39. Hyperpronation.com
then the back
curves.

40. Hyperpronation.com
Does this make sense?
M
I
S
A
L
I
G
N
M
E
N
T

41. Hyperpronation.com
Now, the main question is:
How can we
realign & stabilize the talus
while
preserving joint range of motion?

42. Hyperpronation.com
Let’s explore our options…

43. Hyperpronation.com
Observation?
Not a good option.
TTJ hypermobility – displacement will not “auto-cure”.
It doesn’t get better, it gets worse.

44. Hyperpronation.com
Arch – Supports/Foot Orthosis?
Where’s the evidence that something placed
below the calcaneus can realign and stabilize the
talus, on top of the calcaneus?

45. Hyperpronation.com
Reconstructive Foot Surgery?
Maybe this is the only option, but remember,
the goal is joint preservation over joint destruction,
when possible.

46. Hyperpronation.com
Arthroereisis?
Joint – blocking procedure.
High rate of failure, chance of device
removal is up to 100%.
There has to be a better way.

47. Hyperpronation.com
Extra-Osseous TaloTarsal Stabilization
(EOTTS)
with HyProCure
This is scientifically and clinically supported.
HyProCure is a non-arthroereisis, non-joint
blocking/limiting sinus tarsi stent.
It maintains talotarsal joint alignment, while
allowing a normal TTJ range of motion.

48. Hyperpronation.com
HyProCure Facts & Figures
• FDA cleared in 2004
• CE marked in 2006
• Currently used by leading foot & ankle
surgeons (orthopedic & podiatric) globally
• Tens of thousands of procedures
performed
• Routinely used in both pediatric and
adults

49. Hyperpronation.com
Sagittal Plane Correction

50. Hyperpronation.com
Transverse Plane Correction

51. Hyperpronation.com
EOTTS – HyProCure
Summary of Published Data
• Normalization of subtalar joint forces
• Radiographic normalization of TTJ alignment
• Most successful EOTTS sinus tarsi stent – lowest explantation rate
• Decreased strain to the plantar fascia, posterior tibial tendon, and
posterior tibial nerve.
• Decreased pressures within the tarsal tunnel and porta pedis
• Positive affect to navicular height
• Positive affect to plantar pressure distribution
• Positive functional outcome scores
• Minimal associated risks or complications
• Reversible treatment option
• Best anatomic and biomechanically designed sinus tarsi stent

52. Hyperpronation.com
The global healthcare system is in a
major crisis due to the misdirected
focus of the medical community.

53. Hyperpronation.com
The time has come for the
orthopedic community to embrace a
proven solution to the root-cause of
many musculoskeletal condition.

54. Hyperpronation.com

55. Hyperpronation.com
To learn more, please visit:
www.Hyperpronation.com