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.
Surgical Versus Ponseti Approach for the Management of CTEV - Dr. CHINTAN N. ...DrChintan Patel
Surgical Versus Ponseti Approach for the Management of CTEV (congenital tallipes equino varus): A Comparative Study (J Pediatr Orthop Volume 33, Number 3, April/May 2013)
Collapse of medial longitudinal arch, with the entire sole of the foot coming into complete or near-complete contact with the ground.
Books Refered :
Text Book Of ANATOMY - Vishram Singh
Joint Structure And Function – Cynthia Norkin
Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
• Restore function and health to your feet, knees, hips and low back.
• Reduce/eliminate heel pain, plantar fasciitis, bunion and forefoot pain,
and reduce shock and pain in your knees, hips, and back.
• Sole Supports™ are the only orthotics that are “custom calibrated” to flex for your body weight. Flexible enough for comfort, yet enough
control to actually change foot function.
• Many college and professional athletes wear Sole Supports, since they maximize improvement to one’s posture, injury prevention, balance,
and athletic performance.
• Get back on your feet by getting back your arch!
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.
Surgical Versus Ponseti Approach for the Management of CTEV - Dr. CHINTAN N. ...DrChintan Patel
Surgical Versus Ponseti Approach for the Management of CTEV (congenital tallipes equino varus): A Comparative Study (J Pediatr Orthop Volume 33, Number 3, April/May 2013)
Collapse of medial longitudinal arch, with the entire sole of the foot coming into complete or near-complete contact with the ground.
Books Refered :
Text Book Of ANATOMY - Vishram Singh
Joint Structure And Function – Cynthia Norkin
Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
• Restore function and health to your feet, knees, hips and low back.
• Reduce/eliminate heel pain, plantar fasciitis, bunion and forefoot pain,
and reduce shock and pain in your knees, hips, and back.
• Sole Supports™ are the only orthotics that are “custom calibrated” to flex for your body weight. Flexible enough for comfort, yet enough
control to actually change foot function.
• Many college and professional athletes wear Sole Supports, since they maximize improvement to one’s posture, injury prevention, balance,
and athletic performance.
• Get back on your feet by getting back your arch!
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.
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.
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.
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 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.
Knee pain is a very common condition. Traditional measures only address symptoms while the underlying cause is still present. Find out why and what additional steps need to be taken.
Learn more at www.HyProCure.com.
Shoe lifts for uneven legs are one of the best orthotic interventions that can aid in decreasing the adversaries. Other than that, staying fit and getting plenty of exercise is the best way to defeat disorders of all kinds.
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.
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.
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.
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.
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.
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.
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.
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.
How to save the nation billions in healthcare costsGraMedica
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.
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.
Talotarsal displacement is a pathologic condition that will not "fix" itself. This condition leads to excessive strain on the structures within the foot and ankle as well as to the knees, hips and back while standing, walking, or running. There are clear clinical and radiographic signs that are used to diagnose this disease as well as to show improvement after treatment. Unfortunately, this disease is usually ignored or over-looked while the focus of attention is aimed at the secondary symptoms rather than to the realignment of what lead to the development of those secondary symptoms.
Learn more at www.GraMedica.com.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
1. Truth about Flat Feet/Fallen Arches-What are the best treatment options? Michael E. Graham, DPM, FACFAS, FASPS, FAENS
2. What is a “flat” foot? This can mean several things.
3. “Flat Foot” or “Fallen Arches” Is a rather common problem affecting pediatric, adults, and geriatrics. The foot is misaligned There is displacement of the hindfoot bones forcing a lowering of the natural arch of the foot. Normal Not Normal
4. What kind of “flat feet” are there? Not all misaligned feet are the same.
8. Semi-Flexible Flat Foot There isn’t much of an arch with or without pressure on the foot. The foot flattens out more during standing Cannot be put fully back into its “normal” position.
9. Rigid Flat Foot The foot has no arch on or off the ground. Cannot be manually forced back into it’s normal position on or off the ground.
10. Flat Feet- Who Cares? What difference does it make?
11. It makes a big difference to your quality of life. The alignment and function of our feet plays a tremendous role in our ability to stand, walk, run, and exercise. When are feet are in “alignment” they are functioning as they were designed. There is no excessive strain to the bones, ligaments, tendons, and muscles, as well as the neurovascular structures.
12. Poorly Aligned Feet Sooner or later a “problem” will develop at the “weakest link of the chain” and is a sign that something is wrong. With every step taken excessive abnormal forces are acting on the supporting structures of the foot. Average person takes 6,000 to 10,000 steps a day.
13. “Functional Symptoms” Due to the chronic nature of this disease process (walking is the 2nd most common conscious function of our body) the individual finally realizes that: “The more active I am the worse my pain, the less active I am the pain isn’t so bad”
15. We decrease our activity level. If it hurts…don’t do it We stay off of our feet and become lazy We do whatever we can not to walk or stand because it simply gives us pain. We suffer if we exercise so we don’t Our metabolism decreases now the real problems begin……next slide please.
16. Decreased Metabolism Body cannot burn off the calories Increased weight gain Obesity Hypertension Diabetes Coronary Heart Disease Syndrome X
17. Metabolic Syndrome X Diabetes Hypertension Heart Disease Obesity Etc. One of the first things your doctor tells you is to… …exercise.
18. “My feet are not properly positioned and they don’t bother me at all!” Are you sure about that?
19. No Symptoms Yet? Imagine our foot acting as the tire on our car. We can place the tire on our car without balancing it. It functions great, what’s the big deal about balancing the tire. Who cares! Next slide please
20. Oops…I guess it does matter Sooner or later it will wear out. Not only is the tire affected but it can adversely affect the other tires. The steering also becomes misaligned.
21. It is only a matter of time Average person takes 7500 steps a day 50 years of age 134,137,500 steps taken This is not normal Have you ever heard someone say: “I just turned fifty and it seems like my body is just falling apart” I wonder why?
22. Misaligned Feet and the rest of your body. The alignment of your feet significantly affects the rest of your body.
23. Our feet are the foundation of our body. Normal hindfoot alignment
24. Misaligned feet leads to misalignment to the rest of our body. Abnormal hindfoot Alignment
26. Could be a variety of factors Hereditary Idiopathic Traumatic Just born with it Ligament Laxity Etc.
27. Regardless what is happening? The talus (ankle bone) is displaced from its normal position on the hindfoot or tarsal bones. It falls off its normal alignment with the hind foot bones. The talus turns inward and the foot turns outward.
28. Normal Alignment This is what the hindfoot alignment is supposed to look like. Talus is sitting on top of the hind foot bones. Sinus tarsi (natural spaced between the ankle & heel bone is in an “open” position. Talus Calcaneus
29. Abnormal Alignment Talus is not sitting where it is supposed to be on the heel bone. This partially collapses the sinus tarsi. Partial talotarsal joint dislocation is present. Excessively abnormal forces are acting on the foot. Talus Calcaneus
30. Not Normal. Complete collapse of the sinus tarsi. Talus is not where it is supposed to be. This person is suffering one way or another because of misalignment of the ankle bone.
31. How are you going to fix my feet? I get it, I don’t believe the people who tell me “just live with it”.
32. Treatment Options It depends on what kind of “flat” foot you have. Flexible Semi-flexible Rigid
33. Flexible Flat Foot Treatment Let’s see which options make the most sense Exercise- strengthen those muscles “Special” Shoes- the foot can fix itself? Arch Supports/Orthotics- Extra-Osseous TaloTarsal Stabilization (EOTTS) Reconstructive Hindfoot Surgery
34. Flexible Flat Foot Treatment OptionsExercise- strengthen those muscles Really? The ligaments, tendons, & muscles are already working overtime. They have to take an over-pronating foot bring it back to the normal position and then do their “regular” job to propel the foot. It doesn’t make sense.
35. It is true that by elevating the heel this will help to reposition the ankle bone back on the heel. What about when your not wearing shoes? This does not really “fix” the problem. There is still an internal deformity of excessive ankle bone motion. Places increased pressure to the forefoot and can lead to other problems. Flexible Flat Foot Treatment Options“Special” Shoes- the foot can fix itself?
36. How can something on the bottom of the foot control something above? The root of the deformity begins on top of the heel bone. Have your provider show you radiographic correction with your orthotic. Before/After Flexible Flat Foot Treatment OptionsArch Supports/Orthotics
37. Problems with Arch Supports At best they act like glasses. Just because something “feels different” in your shoes doesn’t mean it is really fixing anything. What about when you are not wearing shoes? Maximum deformity is occurring with every step taken. Limited with shoes you can wear. Always have to buy new devices. They can cause more harm than good. Critical look at these offers a false sense of “correction”
38. With that said… It is possible that an orthotic can provide some relief of symptoms. Offers a non-surgical option Is better than no treatment at all.
39. Flexible Flat Foot Treatment OptionsExtra-Osseous TaloTarsal Stabilization (EOTTS) Probably haven’t heard of this option Minimally invasive procedure Permanent yet reversible option Can be performed on pediatric, adult, geriatric individuals. Latest and greatest option It just makes sense
40. Extra-Osseous TaloTarsal Stabilization (EOTTS) Internal correction for this internal deformity Involves the placement of a “stent” into the sinus tarsi to stabilize the hindfoot bones. Does not rely on external devices for correction. Before After
41. EOTTS Extra-Articular The “stent” is placed outside of the cartilage. It is not placed within a “joint” but is located in between joints. Extra-Osseous The “stent” is not inserted into the bone but between 2 bones Unlike other procedures that fuse 2 bones together. HyProCure®
42. “Stent” is an internal bone stabilization device It prevents the abnormal collapse of the sinus tarsi Made of medical grade titanium Does not fragment or wear out. It is harder than bone EOTTS HyProCure®
43. The internal bone stabilization device supports the leading edge of the talus. Normal amount of motion is still present. Only the excessive motion is eliminated No matter what kind of shoe is worn it is working, even if no shoes are being worn. This device works with every step taken. EOTTS
44. EOTTS Risks Stent displacement Period of abnormal walking, pain, swelling Sprained ankle feeling Inability of the tissues to stretch out due to the corrected alignment Need for stent removal Other risks associated with surgery. Benefits Internal correction Effectively stabilizes the hindfoot Not dependent on external factors-shoes, braces, etc. Should be a “permanent” fix but can always be resized or removed if needed.
46. Semi-Flexible Flat Foot Treatment Usually going to be a combination of procedures- EOTTS with additional mid-foot surgery. Orthotics are going to have a hard time straightening out this foot.