Acid Reflux, Plantar Fasciitis, Dry Needling

Acid Reflux, Plantar Fasciitis, Dry Needling
The Spine Who Nagged Me
Acid Reflux, Plantar Fasciitis, Dry Needling
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Episode 4 August 22, 2022 00:34:34

Hosted By

Dr. Chase Horton

Show Notes

The Spine Who Nagged Me - Episode 4

Dr. Chase Horton and Dr. Joey Jones talk about tractor pulls, acid reflux, plantar fasciitis, dry needling, and more.

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*Disclaimer* The opinions discussed on this podcast are not intended to be taken as personal healthcare recommendation and should not be treated as such. Listening to this podcast does not initiate a doctor-patient relationship between the listener and Dr. Chase Horton or Dr. Joey Jones. Consult with your personal healthcare practitioner before implementing any health practices discussed on this podcast.

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Episode Transcript

Speaker 1 00:00:21 And Speaker 2 00:00:23 We're back. Dr. Jay, what's going on? Speaker 1 00:00:25 All's good here, brother. How about you? Speaker 2 00:00:28 It's good, man. Today's Thursday. It's Friday Eve, big weekend coming up for me. Speaker 1 00:00:34 How? Say Speaker 2 00:00:36 I'm going to a tractor pull in Moulton, Alabama. You ever heard of a tractor pull? Speaker 1 00:00:41 Well, I have, you're not pulling yourself. Are you there brother? Speaker 2 00:00:44 No, no, there's no tractor that could pull me bro. This one, people get big diesel trucks and tractors and soup 'em up. And they pull a heavy sled down a dirt track and see who can pull it the furthest. It's the most Alabama thing ever. Speaker 1 00:00:57 They pulling a sled. So it's not tug war against the other tractor. Speaker 2 00:01:00 Then they might do that. But Speaker 1 00:01:01 You never know what's gonna go on Speaker 2 00:01:03 Show. You never know. One of my patients told me that she's been before and they have an auction where people sell cows and stuff. Speaker 1 00:01:11 See, this is the kind of stuff that goes on until football season on Saturdays in Alabama. Speaker 2 00:01:18 I know. Yeah. You got any requests? You need any chickens or anything? Speaker 1 00:01:23 Oh yeah, well, no, I take the eggs for sure. Grass fed to hit Speaker 2 00:01:26 Free range. I need to hit your brother off about getting some more eggs. Joey's brother has how many chickens Speaker 1 00:01:32 Cazillion Speaker 2 00:01:33 He has a cazillion chickens and he sells eggs. The yellow parts of these eggs or they're orange. You can tell they're healthier. They have so many vitamins. They taste better than the eggs you buy at. The grocery store is no. Wouldn't you say it's noticeable. Speaker 1 00:01:45 Oh, without a doubt. Yes. And you know, and large as well. But there again, I think that he just sells 'em to you and I I'm pretty sure he gives him away to most everybody else, so. Speaker 2 00:01:54 Oh, that's great. Speaker 1 00:01:55 Yeah. Well that's barely love <laugh>. Thank you, Dale. Yes. Or shout out. Yes. Dale. We're on your brother. Speaker 2 00:02:00 Shout out to Dale. Yeah. Speaking of eating healthy foods, we were talking before the podcast about didn't you say you had a patient who came in with acid reflux and GERD, and she said that she has a disease now Speaker 1 00:02:13 <laugh> yes, actually Anne also hiatal hernia, which by the way we treated this morning as a fact acid reflux, AKA Speaker 2 00:02:22 GERD. What's the cause? Well the real cause not what they say the cause is, Speaker 1 00:02:27 Well, the real cause is due to not enough acid within the stomach. So actually it's too alkaline, but you know, healthcare society again, where you're diagnosed with a condition in this case, it's GERD, which is gastro esophageal reflux disease. So I got a disease brother, stand back, go to the next room, Speaker 2 00:02:51 Put your mask on. Speaker 1 00:02:52 Yes. Cause I got my disease and why does everything have to be a disease in this healthcare system of ours? Because it's truly not a disease. It's a dysfunction restore the function and the problem Speaker 2 00:03:06 They say the cause of GERD is stomach acid coming up, eroding away the digestive tract. Isn't that basically what they say the cause is Speaker 1 00:03:16 Yeah. Overactive stomach, if you Speaker 2 00:03:18 Will, are. So that's why they give you an, an acid, an anti-acid to lower your stomach acid. But isn't that really perpetuating the problem. Speaker 1 00:03:26 Yeah, because the, an acid really is wrong biochemistry as it neutralizes that you know, that most important. One of the most important of all body secretions, which is hydrochloric acid or HCL, that's the, if you will, the one thing the stomach is designed to do is to make acid prevent the toxins that are coming into the body from reaching other parts of the body through the small intestines. And so it's got a job to do and here we are attempting to shut down. The one thing that is designed to do, and a lot of your doctors, you know, I like to say old school doctors, they very seldom put a patient on an acid more than about two weeks at a time because they understood that they were toying with the chemistry of the body that they knew prolonged use could actually wind up with a major dysfunctional issue Speaker 2 00:04:16 Because it's gonna have effects downstream in the body. Right? If you're decreasing the amount of stomach acid, that's gonna have an impact on the rest of your digestive system. You know, what does that do to your small intestine, your large intestine? What are some effects that having two little stomach acid might have on the rest of the body? Speaker 1 00:04:32 Exactly. I mean that acid is there to, you know, neutralize, harmful bacteria, but the other key thing to it, you know, life functioning minerals and, and metals for that matter Speaker 2 00:04:42 Proteins, right? Yeah. Speaker 1 00:04:43 Proteins major, all the enzymes. Actually they carbohydrate the fat without the acid in the stomach, you cannot break down minerals and say metals such as iron for the blood without that were unable to assimilate these necessary nutrients, which are gonna lead to farther complications down the road. Speaker 2 00:05:04 This episode is brought to you by standard process. Standard process recognizes the negative impact that the standard American diet has on our overall health. They believe that process foods deplete our food sources of the rich nutrition once found in them standard process understands that good health comes from good nutrition and the best nutrition comes from whole foods. They dedicate their time to perfecting the production of whole food based supplements from the soil use to grow crops to the manufacturing processes used to create the supplement. They have always focused on putting vitality into every bottle and that's why we recommend standard process 21 day purification program to our patients. If your body could use a reset order your program today at us dot full script.com/welcome/podcast, Speaker 1 00:05:57 Lack of calcium absorption, you got osteoporosis, lack of magnesium absorption. You're gonna wind up with cramping in the legs, restless leg syndrome. Speaker 2 00:06:06 So all of that can be traced back to having two little stomach Speaker 1 00:06:09 Acids. Exactly. And what about anemia? Okay. What about anemia problems that we're having in our country? If we don't have the acid to break down the iron necessary for a simulation, uh, we're looking for problems associated with lack of stomach acid. The other one would be, what about the joints? You know, if without breaking down these necessary minerals, we're looking at arthritic problems, joint damage, et cetera. Speaker 2 00:06:31 So having optimal mouth of stomach acid is obviously very important to your overall health. So medications that lower stomach acid are not necessarily doing what they're intended to Speaker 1 00:06:42 Do. No, cuz Speaker 2 00:06:43 Well they do lower stomach acid. Well Speaker 1 00:06:45 They do. I mean Speaker 2 00:06:46 That's not the wrong cause of the problem. Speaker 1 00:06:47 Let's think of it this way. Think of your stomach as sort of like a reservoir that's outside the body. Its job is whatever comes in. The first thing is to it. A defense mechanism. Speaker 2 00:06:56 Hold on, explain what you mean by outside of the body because anyone would say, oh my, my stomach is in my abdomen. What do you mean outside of the Speaker 1 00:07:02 Body? Well, I want you just to picture for a moment. You're putting something into the body. That's going through the mouth. It's going into a holding center. That's your stomach. It first has to identify if there's anything that might be damaging to it. Have to break it down. If it doesn't belong in there, they'd say maybe it says, oh no, you're outta here. You wind up expelling that. Some people might say, Hey, I'm sick. No, in reality, your body is doing exactly what it needs to do. And that is get rid of that thing by which could be dangerous to it. And so it's actually doing what it's designed to do. So what you Speaker 2 00:07:33 Mean when you say that the stomach is outside of the body is that your digestive tract is a tunnel that passes through the inside of your body. But the food that you take into your digestive tract never actually enters the body unless the selectively permeable membranes of the intestines, absorb it into the body. Outside of that, the food that you take in never technically enters the body because the digestive tract is outside of the body. Is that what you mean? Speaker 1 00:08:00 Yes, that's the next phase. So this is where we actually go into the, the assimilation aspect of what it is that we are ingesting. But first that has to be BR you were talking about earlier about the proteins are in the other enzymes associated that need to function properly so that, uh, these nutrients can be absorbed and then do their job that is required by them into the body. Speaker 2 00:08:23 I have someone who's very near and dear to my heart. She was suffering from GERD or acid reflux for years and years and years. And I believe she tried medications and she tried this and that and nothing was working until guess what? She did cleaned her diet up. Imagine that she stopped eating so much sugar and bread and uh, and dairy. And as soon as she removed those components from her diet, the GERD went away. So it's almost like your body's intelligent or something. You know, it's like when you eat something that doesn't mesh well is almost like your body wants to reject it. And it uses that acid to help to try to push it back out. Speaker 1 00:09:01 Yeah. Side effect, if you will. I mean, sometimes with these 21 day cleanses that we were talking about last week with some patients that settles the problem right there, some of these ideal protein type diets, um, where you're eliminating a lot of these processed carbohydrates for some people, that's the first thing that goes away is their acid reflux issue Speaker 2 00:09:21 By taking a 21 day cleanse, you're saying people have cleared up acid reflux type issues. Absolutely. And other digestive issues too. Yes. Speaker 1 00:09:27 Yes. Not all the time, but for some people that might be the underlying condition in reality. We're gonna talk about this too. You know, is that this is actually a gas reaction that occurs. The acid reflux itself is really due to the fact that what's happening within the stomach. We don't have enough enzymes in the food today. 40 years ago, if you brought food home, you ate it rather quickly. Otherwise it's spoiled on you. That food had enzymes in it. So today, a lot of times we're buying something off the shelf in the grocery store that we don't know how long it's been there. Okay. Then it comes home and it may stay in our cupboard for another month. Then we consume this. There's no way that there can be anything alive. And that's why I use the term dead food. If we don't have the enzyme within the food, we put this into our body. Speaker 1 00:10:13 Now we have to use our own digestive enzymes to have to work overtime now because the food is void of the enzymes. So now we are putting them on heavy duty work. People ask me, well, how does this happen? How do we wind up with two alkaline and intestinal tract? Well, without the enzymes to help us, then we're using up a lot of other bodies' natural stored. That's why so many people often benefit with just an enzyme when they eat the meals to help them digest that problem with a lot of people with the acid reflux issue is that the protein is really the main difficulty here. So they'll consume a meal, that's protein, some fat carbohydrates. The stomach is not going to void that consumption of food until that protein is broken down adequately because we're consuming so many of these process and simple carbohydrates, they are creating a gas within the stomach itself. Speaker 1 00:11:12 This gas is going to increase pressure and volume. When we see this happening, now we get the bloating that a lot of people will talk about before they can even finish a meal. So as this gas continues to expand, then we wind up with what's very prominent today. And I see this more frequent than I have in the last 20 years. And that is the Hile hernia. The hydro hernia is really literally when the stomach is ballooning, the pressure pushes it through the esophagus. Now this patient's gonna present with pain in the chest and the lower portion of the chest. And sometimes when they're consuming a mill, they may feel like it gets stuck right there and they can't eat anymore. In very severe cases. I've had a patient who actually could not even hold down water for days until we actually reversed the hiatal hernia. Nowadays, I push in sometimes as many as three to four in three hours in the morning alone, where I used to maybe see in the 1990, around one every Speaker 2 00:12:12 Month. So are you reversing these hernias through diet or through a different technique? Speaker 1 00:12:18 It's manual technique that I use where actually I am pushing that bubble back in it's gentle well tolerated. Speaker 2 00:12:25 So what does it look like? The patient's laying on their back. And so what do you do Speaker 1 00:12:29 Patient lays on their back? And I locate where the hiatal hernia has actually created a little bubble there in the skin on, and I apply pressure there and hold the pressure until it disappears from under my finger. And it goes back inside the esophagus. So Speaker 2 00:12:43 Once, once, once you've pushed it back in, what does the patient notice are they, do they notice a difference in their symptoms Speaker 1 00:12:48 Almost instantly relief, especially if they're an acute stage when they come in, the relief is immediate. However, once again, if we don't go after the cause for it easily can, for lack of a better term, pop back out again with something as simple as bending over without exhaling that intrathecal pressure is enough to push it back out, depending upon the severity of the hiatal Speaker 2 00:13:14 Hernia. Once again, a hiatal hernia is when you have so much gas building up in your system from eating the wrong foods, that it literally swells and pushes the lining of your stomach through your esophagus. That's correct. And that causes a lot of pain. It does. Okay. So you have a technique that you manually push the hernia back into its proper position and that offers the patient a lot of relief. Yes. Okay. But the next step, the step that allows that treatment to last is you gotta remove the wrong types of foods, right? Speaker 1 00:13:44 Well, you gotta remove the wrong type of foods because they aggravate. But the key thing here is that you've got to restore the acid back into the stomach. Remember the stomach is made to make the Speaker 2 00:13:53 Acid. And how do you do that? Speaker 1 00:13:54 I use a product called XPA, which is hydrochloric acid with digestive enzymes. Most importantly, the Pepsi is necessary for the breakdown of the protein Speaker 2 00:14:05 And that's standard process. XPA N Speaker 1 00:14:07 Yes, it Speaker 2 00:14:07 Is. That's hydrochloric acid in, in a pill form that people can take. Correct. Do they take that with each meal or do they take it once a day? What's the dosage there, Speaker 1 00:14:16 We start off with one per meal. Some of my patients, we are going to up that number sometimes to two per meal. The reason being is we're actually restoring HCL back into the stomach. Again, it may have taken that patient 20 years to get the condition they are. So you will get the temporary relief by taking the ZPA with your meal. But in reality, we've got work to do here. We've got 20 years worth of damage. So we've got to rebuild the level of the HCL back in the stomach. See, this is where that term I want to use oxymoron. If you will, with what man is trying to do today with the, what we call the protein pump inhibitor. That's your Nexium. That's your private sec. These totally shut down what the stomach is designed to do, which is make acid. Right? Okay. So your creator comes up with this idea. Speaker 1 00:15:04 The stomach's going to do this somewhere along the line, the scientist and the pharmaceuticals decide, you know what? This is is aggravating. You we're just gonna stop that. The very thing that is designed to do now, what's wrong with this picture. If we're not making acid within our stomach, and we don't have that medium there, we're gonna wind up with complications associated with the lack of the ability to break down the nutrients that are in the food, including powerful minerals, like magnesium. How about calcium and its relationship to osteoporosis? How about the fact, again, we're not breaking down iron, which leads to anemic issues, right? So you can't stop that very thing that is designed to do over the long haul and expect not to have reactions downstream. The other thing. So Speaker 2 00:15:48 If you don't have enough stomach acid, you can take supplements and you can take magnesium. You can take iron until you're blue in the face, but if you don't have the stomach acid to break it down, it's not gonna do Speaker 1 00:15:58 Anything. You can't assimilate it. And you know, this is old school. Remember the old folk medicine, if you will they'll do is they'll take apple cider vinegar before a meal. What are they doing? They're making it more aesthetic before they consume the food so that they can digest the food and they don't get the irritation of the reflux from it. So they've been on to something that works very powerfully for a very long time. And this is how and why that works. That's what we're doing with the XPA. Now we're starting to increase the acidity again, that needs to be there in the first place. If we're taking a protein pump, inhibitor are in an acid, we're destroying the very medium by which the stomach was designed to do. Now, when this happens, you can't just simply stop taking these medications because if you do, then it gets really ugly with a thing called acid rebound, and that is extremely UNCA uncomfortable. So the process there is to try to rebuild the stomach acid with XPA on a daily basis. And if necessary, absolutely work with your doctor to wean you off of the protein pump inhibitors, before they create downstream complications, that require of course, more medications to suppress those symptoms. Speaker 2 00:17:09 As far as XPA N goes, you would typically start a patient out taking one of those per meal. So one, three times a day, how quickly would you expect them to notice a difference in their symptoms Speaker 1 00:17:21 Literally within the first week? Hmm. Sometimes within the first day here again, and sometimes I recommend to them, look, if you feel like you're in the mild distress, pop another one where you might in the past pop the roll aids, for example, try ingesting the very thing that the stomach needs, not an, an acid, but more acid. Speaker 2 00:17:39 So they're taking this at the same time they're taking an, an acid or a Prilosec or a PPI, Speaker 1 00:17:45 Correct? Initially. Yes, because we have to build those levels up. If we don't, then it's the acid rebound effect for some people it's just too much for them. Speaker 2 00:17:52 And then they're slowly weaning off of those PPIs with their primary care doctor. Speaker 1 00:17:56 Uh, that's correct. Speaker 2 00:17:57 Another symptom of having two little stomach acid can be downstream, can be joint pain and muscle pain because of just general inflammation. One that I see a lot in practice, and I know you do too, is plantar fascitis, and that's really an inflammatory issue caused by what Speaker 1 00:18:14 Primary cause is due to stretching in the tendon in the bottom of the foot. Primarily the one that supports the medial arch. This is usually due to a collapse of the support mechanism in the inner arch of the foot, causing what we call over pronation, sort of an inward role of, of the foot, many causes for this over the years, weight gain overuse, people who run a lot, for example. Speaker 2 00:18:41 So just having extra weight apply so much pressure to the bottom of the foot that it overs, stretches those muscles and ligaments in the bottom. Speaker 1 00:18:48 Yes. Think of it sort like plastic rings that hold a six pack together. And if you pull on the cans out of that plastic ring, that plastic ring has now been stretched and it's dysfunctional, same thing is happening with the tendon on the plantar fascist side of that foot on the plantar surface. I'm sorry, creating the plantar fasciitis. Once it loses its tone, you're not gonna gain that back. There's no surgery. That's gonna restore that. So it's lost. So now what we have to do is try to prevent that from being exacerbated any further from that point forward, Speaker 2 00:19:19 When you Google plantar fasciitis treatment, one of the top recommendations that any website will give you is to take a bottle of water, freeze it, roll your foot on it, back and forth. Have you ever seen any actual results with that? Speaker 1 00:19:34 Yes. The results are temporary. They're using anti-inflammatory, that's the idea with the ice. And so as you're rolling that over, you're stretching that fascia, which we're gonna talk about a little bit later when we go over the treatment of that. So your temporary stretching that fashion, giving it a little bit of relief. Speaker 2 00:19:49 If the cause of plantar fascitis is that the plantar fascia is overstretched, stretching it more. Would that fix the problem? Speaker 1 00:19:58 No, it's not gonna net, correct. That's not gonna fix the problem. It may temporarily give you a little bit more elasticity within that area. See, one of the main complications associated with this is that people will get up in the morning. And a lot of times the first thing that they step on is either a hardwood floor or tile. So here this hard surface is immediately putting a stretch on the arch support of the foot. First thing we don't want to do is get it onto a hard surface and put a stress right back into that tendon immediately. And most of us do so my recommendation for people, if they have this condition is, you know, get a pair of house slippers, certainly try to use the carpet as often as you can. Initially, when you first get up in the morning to prevent that initial irritation, Speaker 2 00:20:43 Do you think that the shoes that we wear have perpetuated the prevalence of plantar fascitis? Speaker 1 00:20:49 Well that's Speaker 2 00:20:50 So shoes are shoes are important. We know that they protect your feet from glass. They protect your feet from hot concrete, but evolutionarily speaking, if we were walking in the forest barefoot, our entire lives, don't you think that our feet would be so much stronger without wearing shoes. And we wouldn't even have to deal with things like plantar fascitis. Like, imagine if you wore something like a shoe on your hand, your entire life, how weak the muscles of your hand would be, how, how little dexterity you would have, you wouldn't be able to wiggle your fingers independently of each other, the way that you can, and the fact that we wear shoes our entire life, don't you think that weakens the feet then causes us to have issues with the foot like plantar fasciitis. Speaker 1 00:21:31 I would comprehend Speaker 2 00:21:32 That. So would you recommend walking barefoot more maybe to strengthen the feet? Speaker 1 00:21:36 Well, I think that that's something that you have to be predisposed to early on. I'll give you an example. You take some of these civilization to basically spend their whole life Barefoots and these people over in Africa, they have flat feet, but do they have foot issues? Do they have plantar fascitis? No, they don't because that's their, their, their feet are accustomed to that. They're strengthened if you will, in our society, there's a lot of footwear and some people have very beautiful arches. So Speaker 2 00:22:05 High heels have to be a problem. I mean, think about the way that, uh, think about the position that a high heel puts the ankle in. It tightens the muscles of the calf. When I was in chiropractic school, we had a professor there. I can't remember his name and he probably wouldn't want me to mention it anyway, because he did, he had a study published of the effect that high heels have on your low back. So what he did is he wore high heels around for months and he did tests on his low back. He did pre and post x-rays and he did all these muscle tests to find out the changes that had happened to him wearing high heels for three months. Now, look, was this an excuse for the guy to wear high heels? I don't know, but apparently it got some pretty good data. He found that wearing high heels for even just a few months, had a really negative effect on his low back. And he started having a lot of pain. So I'm certain that the footwear that we use on a daily basis has a pretty negative effect on the musculoskeletal system in general, Speaker 1 00:23:03 You know, there's various studies up there. Some people say that if you're accustomed to wearing those, and I have seen a study where somebody had actually proven that there wasn't a correlation between heels and wearing flat shoes. So, uh, I think the science is still out there. I, some people Speaker 2 00:23:20 Look, Joey, I get it. You don't want people to stop wearing high heels. You know, I, I understand where you're coming Speaker 1 00:23:25 From. No, some people I seriously do want to stop wearing high heels <laugh> and I'm not gonna mention that name, but no, just to give you an example, though, I had a patient who I started with plantar fasciitis two weeks ago. And by the way, she's doing fine after literally just after one visit her problem was just that she came out of a pair of pumps one day. And within a matter of hours, she started experiencing the pain in the arch of her foot. And she had had that to the plantar fascitis. Speaker 2 00:23:50 She started feeling better after one treatment. Is that typical results that, that she Speaker 1 00:23:55 Get, I'm gonna say the success rate is extremely high with the treatment that I use, but I wanna kind of explain this analogy to you. If you think about this, what's happening here is when with the plantar fascitis, every time they weight bear, I want you to think of that tendon sort of like as a pair of panty hose, if you will, and the place where the injury has occurred, there's a mild tear in the tendon at that spot there. So it's sort of like taking that pair of pan hose and sewing a piece of leather into the edge of the panty hose. And every time I go to stretch that panty hose right there, where that leather has no elasticity, we continue to create a tear there. Speaker 2 00:24:28 So the leathers, the scar tissue that forms Speaker 1 00:24:30 Eventually, this is the, this is the fibrotic tissue that occurs. Now, this fibrotic tissue, if it continues to manifest itself, this is where your heel spur comes in. See, it really does it no good to go in there and shave the hill, spur down or cut this heel, spur out because the cause of it has not been changed. And therefore it's either one gonna grow back, but we don't do that with our treatment. When we fit the orthotic, we're gonna fit the orthotic with the spoiler and mine, and we're gonna create a little cavity for it to sit in. So it's no longer aggravated anymore. And usually it will soften itself up and often just disappear. So the key to that is to create a little bit of mild inflammation in that area where the fibrosing has begun. This creates what we call fibroblasts to the area. So if you cut your skin, you know how the outside, the cut turns red on the outside. This is fibroblasts it's inflammation. That's why it's red. So Speaker 2 00:25:23 This is good inflammation, good Speaker 1 00:25:25 Inflammation. A little bit of inflammation is good. It will heal Speaker 2 00:25:28 Inflammation for acute issues is a good thing, but chronic inflammation is when it becomes a problem. So when we talk about systemic inflammation and inflammation caused by food, these are negative types of inflammation. I just wanted went out that difference. Speaker 1 00:25:40 Yeah. So I'm gonna create a mild inflammation. This inflammation is actually gonna help us to heal. That's why we don't perform this two days in a row because we have to give that time for that inflammation to settle down. Before we go back in and work it again, say within 72 hours after the initial treatment, Speaker 2 00:25:57 Another treatment for plantar fasciitis that I've had really good results with is dry needling. I went to Chicago a couple of months ago and got my dry kneeling certification. And that was a game changer as far as what it can do for the plantar fascia. Because like, when you say the, the leather in the pan hose, right? The fibrotic tissue that builds up, that's where you apply the needle and then you hook up electric stem to the needle and send a little electrical current and there, and it helps to stimulate the healing process. It pumps endorphins into the area. It pumps out the bad inflammation and it increases blood flow so that you can help to heal at that tissue over time. So I've also had pretty good results with that. What does the treatment look like that you've had good results with, for plantar fascitis? I know that you do a lot of soft tissue and scraping breaking down that scar tissue. How, how do you do that? Speaker 1 00:26:48 Uh, yes, what I do is I call what I call a fascia release. So I'm going in there and putting friction into the area where that tissue has started to tear. Now it's mildly uncomfortable the first time out because we're creating a little bit of inflammation. And what I'm doing is I'm realigning these cross fibers so that we are increasing the elasticity within that tissue there so that it's better able to withstand the stress, put upon it without tearing again, after I perform that, then I will use a microcurrent in my electric muscle stem to help increase that circulation as well. And also the help with the healing mechanism, accompany that with some ice initially. Cause once again, I want an anti-inflammatory all right, often I'm gonna also give my patients supplementation to help with the healing of the soft tissue that's associated with this problem tendons and also correct connective soft tissue. One of the primary minerals that I love for this is manganese. Manganese is also an efficiency that results in things such as flat feet instability to the connective tissue tendons primarily Speaker 2 00:27:55 Wait, what does manganese have to do with flat feet? Speaker 1 00:27:58 That mineral itself is very powerful precursor to strengthening connective tissue, again, another green leafy, which most of us don't get without organic soil. It's fairly hard to come by it. Anyway, Speaker 2 00:28:13 Manganese is one of the supplements that you recommend as far as your musculoskeletal healing protocol in general, or just for plantar fascitis Speaker 1 00:28:22 In general. Speaker 2 00:28:23 So if someone comes in with neck pain, manganese might be one of the supplements you recommend to help heal that scar tissue. And in addition to adjustments and deep tissue work and everything else, Speaker 1 00:28:33 Yes. Soft tissue, disc issues, ligaments, tendons, connective tissue Speaker 2 00:28:40 Manganese. What else Speaker 1 00:28:42 Wanna just think about your primary minerals? Magnesium course, calcium selenium. I Speaker 2 00:28:48 Mean, just so, um, maybe a multi mineral you might recommend Speaker 1 00:28:52 Always <laugh> yeah. For, for just about every condition you've got going on in your body, a minerals gonna be beneficial for Speaker 2 00:28:58 You. Would you recommend taking all those separately or do you think a multi mineral will cover the bases? Speaker 1 00:29:03 Well, no, in my protocol, again, I'm gonna use a standard process product called Lego Plex one. I use that initially because that is during my healing phase of my treatment for this ligament tendon muscle related trauma that's occurred. Now, once I have stabilized that particular problem, then I will recommend for my patient, maybe something, uh, that is a high mineral supplement for the prevention of future injuries, cuz we're feeding the body. That very thing. That's probably not getting to help sustain stability. If you will, into the connective tissue. You know, it's one of the things you have to ask yourself, where were all these knee replacement and hip replacement surgeries 50 years ago. They really just, they weren't as common as they are today. What's going on here, people. Well, we're just not consuming enough of the proper foods to give our body what it needs to perform correctly. Speaker 2 00:30:01 And that's because the nutrients are not in the food, right? You can eat salads till you're blue in the face. But if the soil that the foods were grown in or void of nutrients, then you're not gonna get those. So that goes back to the top three supplements that everyone should take that we've talked about in the last episode. So I don't know if you haven't heard that episode go back and listen to it. We give recommendations for the top three foundational supplements that anyone should take to make sure that your nutritional gaps are met, meaning that you're getting the nutrients from supplements that you're not able to get from foods because the foods that we are given do not have the nutrients in them Speaker 1 00:30:37 Not anymore. Correct. And that is of course your multivitamin, your mineral and polyunsaturated, fatty acid, like a fist oil. There's your powerful anti-inflammatory right there. Because you know, the other treatment for plantar fide is outside of what we've been mentioning here is primarily, it's a steroid shot, right? Which is treating what well, it's treating the inflammation, not treating the cause, but treating a symptom of associated with it. And for a lot of people extremely painful. Is it fixing the problem? No. Is it hopefully, maybe giving them some relief? Could they possibly be exacerbating the whole issue because they're not feeling the pain anymore? Well, highly probable. So let's go after the calls, fix the calls here again. All right. Speaker 2 00:31:26 You'll like this one in the dry needling conference that I went to, they talked about a study that was done. They compared a steroid shot in the plantar fascia versus dry needling. They tested it two years out and it turned out that not only did the dry needling group have better results, the steroid group, they got worse over time. So the idea is that the only real benefit from having a steroid shot in the bottom of your foot is the physical needle going through the plantar fascia, just like dry needling. It's not what they inject in is just having that needle go through. The plantar fascia is have is what was producing the positive effect to begin with Speaker 1 00:32:08 Here. Again, it makes sense to me because then we're only treating a symptom in the first place and not correcting the problem. That's sort of why the bottom line here, once you develop this plantar fascitis problem, it's always going to be there. Cuz we talked about the fact you can't reverse the damage that's done. And that's where the customized orthotic is. Absolutely. For the most part, it's the go to fix all, if you will, problem. And in your foot you have three arches and if one arch falls, the other two, two are going with it. So a lot of these orthotics that you're seeing today sold in stores and some that are even are only addressing one arch. And usually that's the meteor longitudinal arch and occasionally, maybe a second of the three. But if you're not supporting all three, the relief is only gonna be temporary at best. Speaker 2 00:32:56 So when you say you got three arches, you got the medial, the lateral and the transverse. Is that what you mean? Speaker 1 00:33:01 That's Speaker 2 00:33:01 Correct. So the medial is the arch. When people think of the arch of the foot, that's the medial arch. That's the big one on the inside. The lateral one is the one on the outside of the foot. And the transverse is the arch that lies just under the toes. And it goes sideways across the foot across. Speaker 1 00:33:18 Correct. Speaker 2 00:33:20 So if you go by a pair of Dr. Schulz, that's probably only addressing one of your three arches, Speaker 1 00:33:25 Correct. On occasion, you might find a orthotic that might address the medial arch and maybe the transfer arch. But here again, you're not fixing the whole picture. Speaker 2 00:33:40 So what kind do you like? Do you like foot levelers or what type of orthotics do you recommend? Speaker 1 00:33:44 Yeah. Yeah. Over the 30 years I always come back, uh, to foot levelers. Speaker 2 00:33:49 All right, doc, you wanna wrap it up? Speaker 1 00:33:51 That sounds good for today. I think that was some quite, uh, better information to Speaker 2 00:33:58 Let's go get some lunch. Awesome. Speaker 1 00:34:00 All right, brother. Thanks again. Speaker 2 00:34:01 See you next time.

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