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How to Treat Knee and Ankle Pain – Part 1
Oct 23

How to Treat Knee and Ankle Pain – Part 1

How to Treat Knee and Ankle Pain Naturally, Part 1

Hi, my name is Dr. Troy Giles. I am a doctor of Chiropractic and a Natural Internist. Today I wanted to tell you about something that is immensely dear to my heart, which is helping kids, specifically with scoliosis, with knee pain, with ankle pain, with foot pain. This is one of my good little patients. Her name is Mady. Say Hi to the world Mady. Hi. Was it last week? Last week they brought Mady in and I have been seeing her for quite a while, but haven’t paid attention…ten years…since she was born…but I haven’t paid attention to her feet. Over the last month or so she has developed a lot of foot pain and a lot of knee pain, so much so that she went to give a little talk in church the other day and wasn’t able to stand and do the talk because of the pain in her feet. So I said “well, let’s take a look at her feet.” Well there is pronating significantly, which I am going to show you in a minute what pronation does to the knees as well. Mady, let’s have you stand up here. When you are looking for pronation, you will notice that her ankles are dropping inward. You can see the whole ankle bone is coming this way. This one is significantly moved this way, and as I touch the ankle itself, if I push right here, there is a hole, but there is no hole here. Because the talus, this bone right here…I am going to shut the door so the music doesn’t play. So you can see right here that there is a hole, but there is no hole here. So what I want to do is I want to set her foot and create an arch, using an orthotic, which I just finished creating. That’s going to help put the ankle back into position like this, that neutral. Now, show this picture here. If you notice, if I put my two fingers right here, I start to hit, I hit my fingers right there. We call this coccyxvalgus, or knock-knee. So you can see how the leg is coming in this way and then it comes out this way. So both of the knees are doing this, like my joints here, my thumbs, they’re touching. But by working on the ankle right here, it is going to take and straighten the knee. So watch this. This is neutral. That’s how she normally is. No if you look, see how much the ankles are dropping inward, that’s very big. Fingers come to about right here. Now, Mady, I am going to put you into this position right there. Hold it and that position there and hold it. See I can come clear past her knee now. Actually, let’s go back. Here I can come right here with one finger. Now if I put them into neutral, I am coming clear up and I can almost come through that area here as well. So you can see that the knees are shifting, instead of being knock-kneed, they are coming out and being neutral. So this is a very, very big thing. So these are the orthotics that we just created. They are very thin. They fit in any shoe. I created it so that, and how we fix these, we have them heated up to 200 degrees, and this is the trick, is that when she is actually stepping down on a piece of foam in the other room, I put my finger underneath the foam and then I dorsiflex or raise the big toe up. Now watch this. Mady, just stand down normal. Now watch when I raise the big toe, watch the ankle. Did you see it come in to neutral? It actually shifted this way. By dorsiflexing or flexing up the toe. So that is the position. This is what we call subtalar neutral. This talus right here has to be in a neutral position where it is right in the center. If I Iet it go, when she comes back to the normal, this shifts and goes this way. So the orthotic goes in the shoe and supports the arch into a neutral position. So I am going to do some more raising as we go, but for right now this is as much correction as I want. Now bunions grow as well. Bunions can grow just by, as you’re walking. If you are pronating and the ankle is dropping over, as you go to go into your toe-off position, if this is pronating over, all of the pressure from her whole bodies weight comes over and across this big toe. So ultimately, her big toe is going to deviate to the outside. So by putting the orthotic in and holding that into a better neutral position, when she is walking in her shoes, this now can raise easily and she is able to walk through without causing all the pressure in that joint. So these are orthotics that go into the shoe and then what we need to do actually, is now Mady you are 10 right? So, what we want to do is go get an x-ray. You say well “Geez, you’re only 10 years old.” More than likely because the amount of pronation in her ankles, she probably has some scoliosis. More than likely as she stands here, if I put my hands here, I don’t know if you can see that, but this hip, I am just putting my hands on the hips. This hip is higher than this hip. So more than likely she has a curve that runs this way and that comes back here, and back into her like this. I find that about 90 percent of the people, when I see this intent pronation, 90 percent of those will have a scoliosis. Scoliosis is curvature of the spine to the side this way of greater than 10 degrees. So, by finding this, Alleluia that she had pain. Alleluia that she had pain, because if she hadn’t of had pain, we would not have looked at her foot. We would not have gotten the orthotics in. Now the next thing I am going to recommend is we get in and we do a two-view lumbar x-ray, one from the front and one from the side and that is going to let us know if there is curve. If there is curve we can do something about it and she’s 10. It starts in the feet. Scoliosis starts in the feet because as the foot pronates, as this, now watch, as this foot drops over the leg internally rotates and drops. If this hip is internally rotating and dropping down it is going to cause it to drop. If the sacrum, which is the vertebrae right here, at the very bottom of her back, if it tips to one side, then the rest of the spine is going to tip that way too and that is what starts the curve. So what did we just do? This is amazing. Mady, this is one of the greatest days of your life because if we don’t fix it, that curvature, the scoliosis can wear the vertebrae down. When the vertebrae or the disc spaces diminish in disc height, they tip to one side. The nerve roots that exit the spine and go around and go to different organs, they are compromised when it’s curved. They are compromised the weight of a nickel will shut down the energy flow to that organ. So L5 right here at the base of her back, probably where most of the curvature is, that runs to her bowel, runs to her ability to have a bowel movement. All, each vertebrae all the way up her spine runs to an organ. If those organs, if the nerve roots are pressurized, weight of a nickel, stops the flow of energy, weight of a nickel, then it’s going to shut off the energy. Just like this, just like the dimmer switch. So shine a light up here. So this is the real spot that runs that dimmer switch. So what happens when there is misaligned vertebrae or curvature of the spine it is literally shutting the energy off, just like the dimmer switch. So what did we just do by correcting her feet? We can also now put a lift on the  bottom of one of her orthotics if there is a curve. That is going to help diminish the scoliosis. So we will go shoot an x-ray and find out what that looks like. But, we just saved her immense amount of problem in the future. I recommend that you get your children x-rayed “X-ray! Oh No! They are going to…” no that’s not the case. X-ray now is so minimal. If I were to x-ray her low back it would be like her being outside playing and doing normal activities for two weeks from the sun. The sun gives us radiation. Two weeks, that’s about as much x-ray as you get here when Ido the two-view lumbar x-ray. But, man, I tell you what, it is going to save her. It is going to help her so that her feet don’t hurt. If you have questions, make sure you feel free to call the office. Call the office here. Look us up on our website,, or you can email us too. Just jump on our website and you can see the email there too. Call the office because we would be more than happy to help you, give you information from anywhere around the world, show you what to do as far as exercises go for the scoliosis. The orthotics, I tell ya, they are great. I hope that has been beneficial for you. Have a great day.


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