A Twisted Tibia

The knee is a hinge joint, meant mainly to move back and forth in one geometric plane. It will accommodate only minimal medial or lateral torquing (circular, or twisting, back-and-forth movement).

Torquing, or twisting, is a common cause of injury to the knee. Twisting the lower extremity on a “planted” foot, while one’s body weight is bearing on the foot, can torque the knee past its tolerance. Pain and inability to bear weight on the knee after this kind of injury often bring patients into my office.

        Usually, the tibia is most severely affected, as well as the kneecap, but the fibula, as well as the femur may also need adjusting.

I have specific, precise, and comfortable adjustments to alleviate this problem, returning the involved knee to its normal articulation and relieving the pain.

Doorway or Corner? Which is Better?

 Patients are frequently advised by other caregivers to stretch the front of their upper body / arms / shoulders / chest by standing in a doorway, placing the hands out on the door frames on each side, and leaning forward.

This will effectively give a good stretch, but I have found that people can easily overstretch due to loosing their balance, lack of control, or over-enthusiasm, and end up hurting themselves.

Instead, I advise my patients to stand facing a corner, place their hands on the walls on both sides, and lean into the corner. I have them change the height of their hands, up and down, which effects the stretch in slightly different parts of the chest, shoulders, and arms. Changing the distance from the feet to the corner can lessen or increase the stretch.

This is a safer way to do this stretch; patients are much less likely to hurt themselves.

Bone Broths

  Nutrient-rich bone broths were traditionally prepared by our mothers, grandmothers, and great-grandmothers as an inexpensive way to support the health of their families. 

Bone broth, rich in absorbable calcium, magnesium, phosphorus, & other trace minerals, is made by slowly boiling bones (preferably organic), for up to 12 hours in water slightly acidified by addition of vinegar.   

Including attached cartilage helps add to collagen content in the broth. The fats in bone broth contribute to the health of our intestinal tract, thus helping the absorption of minerals in the broth. In Traditional Chinese Medicine, bone broth nourishes the kidneys, supports the vital essence (chi) and builds blood.  http://nourishedkitchen.com/bone-broths-adrenals-bones-teeth/ 

Here is how to make Rich Bone Broth:

Bones, with cartilage, from organic chicken, turkey, or beef 

2 - 3 quarts filtered water, enough to generously cover the bones

2 Tablespoons cider vinegar

Bring to boil, then reduce heat & simmer, lid on, for at least 6, & up to 12 hours, adding water periodically as it cooks down

Prior to about the last hour of cooking, add, for flavor:

1 carrot

1 stalk of celery

1 onion, chopped

2 - 3 cloves of garlic, whole or chopped

Salt & pepper to taste

Seasoning herbs (your preference; you can make a bouquet garni of thyme, oregano, sage, etc.)

Cool, then strain into portions for the freezer & / or refrigerator

Trigger Finger

         A common condition when a finger, or thumb, gets stuck in a bent position, and straightening it causes a painful “snap.”

This happens when inflammation develops around the tendon inside the tendon sheath (a tissue “tube” surrounding the tendon), and is called tenosynovitis. The inflammation narrows the space between the tendon and its sheath, and the thumb or finger gets “stuck” in the bent position.

This painful condition often results from repetitive gripping motions with the hand(s).

My treatment plan includes gently adjusting the involved finger, anti-inflammatory management, and splinting of the finger in a straightened position while the inflammation resolves.  

Ventana Wilderness Alliance

    

     As an avid hiker and backpacker for many years in the Central Coast and the Sierra, my support of wilderness preservation is very personal. Early on, John Muir’s words touched my soul: “Climb the mountains and get their good tidings. Nature’s peace will flow into you as sunshine flows into trees.” 

     Climbing trails into the rugged Santa Lucias with breathtaking views of the Pacific at my back, sleeping on the ground in coast live oak woodlands, waking to the raucous chatter of acorn woodpeckers—these are vivid and cherished memories. My grandchildren have been my camping and hiking companions throughout their childhoods, and I have taught them to be safe hikers and careful stewards of wilderness in our many adventures together.

     I care deeply that public lands be protected, be preserved, and remain available for all to enjoy, and I applaud and support the work of the Ventana Wilderness Alliance. 

Donations made to VWA via Monterey County Gives!--now through Dec. 31, 2018--will be matched up to $30,000 by a Challenge Gift  https://www.montereycountygives.com/nonprofit/ventana-wilderness-alliance/            

Founded in 1998, the Ventana Wilderness Alliance (VWA) is a CA nonprofit corporation with 501(c)(3) tax-exempt status, dedicated to protecting the wildlands of California's northern Santa Lucia mountain range www.ventanawild.org