Arthritis Rheumatoid Surgery

By | June 7, 2018

3 Steps to Permanent Relief for SI Joint and Pelvic Pain

Today we are going to cover the 3 steps topermanent relief for pelvic and SI joint pain. Now what is SI joint painé The SI joint, ifyou do have SI joint pain, is pain on either side of the tailbone where the tailbone connectsto the pelvis. So this is a drawing of the pelvis. This is your tailbone. This isyour lumbar spine or your lower back, the bones in your lower back called vertebraesitting on top of your tailbone. Then on either side of that you have your right hip or yourleft hip if we are looking at a person from the front. When we see somebody with SI jointpain, they will typically have pain on that given side. 70% of the time, it is on theright side. Don't ask me why that is but

70% of the time we know it is on the right. You canalso get shooting groin pain, buttocks pain and symptoms down the outside of the leg thatis affected. It might be pain, numbness, tingling, burning. Typically, that personsuffers from a heaviness as well. It can also cause some incontinence and leaking issuesas along to effect sexual performance as well. It can be absolutely devastating ifthe pelvic problem is bad enough. Fortunately, most people just have pain on one side. Sowhat can you do about ité That person who has SI joint problems typically has troublerolling over in bed, getting in and out of a car, crossing one leg over the other. Usuallythey have trouble sitting for long periods

of time especially if it is on a couch or a softsurface. So it can be absolutely devastating. Now what are the steps to permanent relieffor thaté Number 1 is this. Most people when we seethem if they are going to try exercises on their own and they only have a little bitof SI joint pain or pelvic pain, they are doing stretches. Yes, there is a very basic stretchwhich most people show me on Day 1. It is a piriformis stretch which is where you grabthe knee and pull it up and across to the opposite shoulder. It will give the personwho suffers pelvic or SI joint problems and pain temporary relief. However, long termwe don't want to stretch. We want to

strengthen or stabilize. Why is thaté Whensomebody has an SI joint problem, so the center of gravity of your entire body is inthe center of your pelvis. That needs to move the right way and it needs to be stable whenyou are doing day to day activities. If it is not stable enough, what will happen is thejoint will move so far that it becomes stuck. So if we are looking at the tailbone, we havethe tailbone and we have the pelvis and you get a normal gliding day to day. If morestress, more force is put through the pelvis than the pelvis itself can handle, that SIjoint can handle, what will happen is you actually become stuck. Now that creates allsorts of problems for the muscle around it.

What most people do is try to stretch theirway out of it. The problem is not stretching and it is not flexibility. It is actuallya stability issue. If we want to stabilize, we need to do strengthening exercises. If you go on ourYouTube channel, on the Madden PT official YouTube channel, there is a tutorialcalled Top 3 Exercises for SI Joint and Pelvic Stability. They are very low grade, kindergartenlevelexercises where you can at least begin stabilizing the muscles that controlyour pelvis. But we don't want to stretch, we want to think stabilize. Step 2 is we want to take a look at our habits.So what are some habits that lead to

pelvic instability and problemsé Number oneis standing with the weight shifted. So if I'm standing like this with my weight shiftedside to side for long periods of time, what that does is over years and years and yearsit weakens the ligaments which are tissue that hold joints together that we can't control.Think about somebody with an ankle sprain. They sprained a ligament. They stretchedthe ligament but it is not a muscle. It is different than a muscle. There are littlehabits that we do. If I stand like this and let's say I weigh 175 pounds and if I'm standinglike this, I have 150 pounds on one side and 25 pounds on the other. Where if I'm standingbalanced, I have 87 ½ pounds on each

Foot Surgery for Rheumatoid Arthritis Patient Testimonial

Well, first of all, let me start off by sayingthat I have been in pain for quite some time. I was diagnosed with Rheumatoid Arthritis,and living with it for about five or six years. My foot, my left foot, had gotten so bad thatI started to walk like a cripple. I'm a teacher, I work with students, I run up and down thehalls, and I just couldn't take it anymore. I got to the point where I couldn't even getup in the morning. So, I decided, I just made a decision, a conscious decision, to go andfind some help. I went to a pediologist, and she referred me to Colon. And I called Colon. He asked me to come in, did an xray, and told me everything that I neededto have done; and I was so nervous because

I did not want any type of surgery. But, honestlybecause of how everyone made me feel in the office; when I say that I mean, just the warmth,the friendliness, the relaxing energies there, I just felt good. I felt like I could actuallytrust this . I knew that I had to go through this in order to get where I neededto be. He was wonderful. He was absolutely wonderful. My hero. Going into the surgery,I didn't know anybody, I was kind of nervous. But when I saw Colon I felt like it'sgoing to be all right. Everything is gonna be fine. Since the surgery, it's been about,about a month. I've been in a boot. I've had to do foot toe exercises. And now I'm walkingfine. I'm wearing a gel pad, which will protect

the area during that time and will help thenerves reconnect in about 46 weeks. So, I should be back in shoes, and back in heels,at that time, and 100% recovery. And, I feel great, I mean it's just a little sensitivein that area. I healed so well that it doesn't even look like I had a cut. This office isjust the most friendliest office. I wish all of my s offices could be like this.Whoever set up the customer service or trained everyone, they did a fabulous job, becausethey're right on point. And, it's just the best experience I've ever had.

Surgery for Overlapping Toes Caused by Rheumatoid Arthritis

This is Becky, she's got rheumatoid arthritis,and last year we fixed all of the toe deformities. Tell us how you're doing and what it waslike when you had these bad feet. Rheumatoid arthritis, I think, basically theconnective tissue just goes south, so when Powers first did the xray of both myfeet, it looked like a skeleton had fallen down and the bones had just fallen at will,all askew. Many of my toes were overlapping. I don'tknow just exactly how I was walking. I think I was doing a lot of compensating by walkingon the sides of my feet or however I could achieve mobility. I wasn't sure that anythingcould be done when I came here. It was sort

of a last resort because when I had gone toother orthopedists, usually they were happy about working on rheumatoid patients, andalmost all of them said they wouldn't do it. So, I was not particularly optimisticwhen I came, but Powers just said, ‘Oh yes, I can fix that.'So, I had the first foot done about two years ago, and then the left foot done about a yearago. My toes are straight, I can wear real shoes now, as opposed to buying my shoes twosizes too large to accommodate my toes. I found that I am walking much better. I canactually get around in an airport without commandeering a wheelchair. Best of all, I'ma woman and I can buy new shoes, and I love

it. One other thing I would say is that when Iwas talking to my family about my surgery and I said, ‘You know, it was really greatbecause I took one pain pill one night, woke up eight hours later and thought, I'm notreally doing too badly, and I ended up with the rest of my recovery just on the occasionalTylenol,' and he said, ‘That's the hallmark of a really good surgery.' Thank you very much!.

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