Knee Pain Symptoms Checker

By | July 15, 2018

23 Ways To Get Rid Of Inflammation and Joint Pain Saturday Strategy

Hey friend! Drew Canole. I am so jest up tobe here. We're in Lake Murray, Southern California at its finest. It's absolutelygorgeous out today and what better way to spend our day than you and me talking aboutsomething that I'm passionate about and I know a lot of you need help with. What isité Inflammation. Inflammation attacks us when we least expect it. We go to bed, wewake up in pain, we twist our neck it doesn't make us capable of being the fullest expressionof who you and I are. So today we are attacking inflammation headon. I wanna show you the11 things to eliminate, eradicate and destroy from your life and I also wanna show you 23remedies that can help inflammation when it

sets in but first we have to understand thetwo primary pathways for your body to heal inflammation on its own. Get the primary andyou have the secondary pathway to eliminate it. So if we help the body with the primarypathway of detoxification, of giving it the right foods, of eliminating the bad thingsthen that secondary response doesn't kick on. You start to feel better. So let's talkabout the 11 things to eliminate and cut back on righté Some of these are gonna be prettyhard to eliminate right away and I get that but to cut back on to help with that primarypathway of getting rid of inflammation on the body. Number one, processed food. Youheard me talk about it. Sugar, dairy, wheat.

If you are in a polluted area make sure youget an air purifier to clean your house. Smoking, ugh! Not good for inflammation at all. Ifyou're smoking and you're taking pain killers at the same time, double bad okayéDon't be doing that stuff or at least try to eliminate it slowly okayé Alcohol, transfats,omega 6's, fatty acids, MSG and sleep. Sleep is the big ticker. If you're getting enoughsleep it will help eliminate that. Your kidneys works when you're, at night its purifyingyour blood so it's exactly what you want. So sleep, bar none is the most important thing.‘Right my friend, have a seat. Let's talk about this real quick. So 23 things we cando to get rid of inflammation. Number one

is Omega 3's righté Omega 3's deliverin the process of getting rid of toxic. Inflammation build up in your body. Number two is greens.You've seen all of our juicing tutorials. I'm a firm believer of drinking greens in themorning on an empty stomach, you know that's why we do warm water and lemon, stimulatethat digestive fire as they talked about neuro data and then having the green juice afterwardsso that you a absorb the phytochemicals, amino, enzymes and that's if you're travelingor whatever you're doing that's why a lot of people are actually taking the Organifiwith them so they get the green superfood first thing in the morning. Very powerfulstuff. And then gut health righté Inflammation

starts in the gut with the food that we eat.80% of our immune system is in the gut so that's why you wanna eat the foods likewe talked about on last week's Saturday Strategy that are loaded with probiotics.Prebiotics, things to stimulate that immune system and help you heal. Hydration is absolutelykey. Listen, 80% of the country is chronically dehydrated. Drink your water, six liters atleast. Drop a little Celtic sea salt in there for your minerals, absolutely amazing foryou. One of my favorite teas is actually turmeric and ginger tea. You've seen me make tutorialsabout this. Really good for you. Epsom salt bath at night. One of my favorite things todo is add a little Epsom salt, sit in there,

relax, meditate, breath, lower that cortisollevel and just let that magnesium absorb through your skin. One of the best ways that leadsme to the next one which is magnesium. Magnesium is quintessential. I've a calm supplementI take from home, couple of dose a day make you feel absolutely amazing. Nine is oliveoil righté They've done research on this. They tested olive oil against ibuprofen, justone and a half tablespoons of olive oil is equivalent to 200 milligrams of ibuprofen.Dandelion greens, as I mentioned two weeks ago in 23 ways to cleanse your body, Dandeliongreens help promote bile in your digestive track which helps eliminate toxins as wellplus they're loaded with vitamins A, C and

Diagnosis and Treatment of the Sacroiliac Joint Charles Harvey MD

My name is Charles Fredrick Harvey, MD. I'ma neurosurgeon in Kankakee, Illinois, employed by Riverside Medical Group. I'm going to betalking about the diagnosis and treatment of the sacroiliac joint. I first became interestedin the sacroiliac joint as a spine surgeon because I had patients coming and tellingme that they had pain in their back going down their leg. I couldn't account for thatpain easily with the MRI findings that I saw. The sacroiliac joint is the main joint connectingthe spine with the pelvis. It allows energy transfer between the torso and the legs.I see three major categories of patients with sacroiliac pain. One category is patientswho've had trauma, for example, a fall on

the buttock, a twisting injury or even a caraccident. A second category is women who have pain that's persistent in the back of thepelvis after pregnancy. In my personal experience, out of my first 100 patients with sacroiliacsurgery, 24 of them have previous lumbar spine surgery. About 20% of patients who come totheir with lowback pain actually have pain coming from the sacroiliac joint. Studieshave shown that patients who have persistent back pain after lumbar surgery frequentlyhave sacroiliac joint disorders as a source of their pain.Patients with sacroiliac joint pain have disability and pain comparable to lumbar stenosis, kneearthritis or hip arthritis. The degree of

disability can be worse than asthma, heartfailure or COPD. The diagnosis of sacroiliac joint pain requires care and attention. Thisisn't something where simple xrays or an MRI or a CAT scan clearly demonstrate thediagnosis. Symptoms of SI joint pain can include lowback pain radiating into the buttock orleg, hip pain, groin pain, a feeling that the leg is giving away, trouble with sleepingor pain rolling over in bed, trouble with sitting especially putting pressure on theaffected side and pain going from sitting to standing.The pattern of pain can be similar between facet pain, sciatica, disk herniation or sacroiliacjoint pain. Careful physical exam by a trained

physician can help determine whether painis coming from the hip, the low back or the sacroiliac joint. Some patients find thattheir pain is worse when they stand on the affected leg or with prolonged walking. Otherpatients complained of pain with sexual intercourse or changing positions. Patients sometimesdescribe that their pain is better if they shift their weight away from the affectedside, they lie on the unaffected side and some patients have relief from a back braceor sacroiliac belt. A set of five physical examination maneuversthat put specific stress on the sacroiliac joint help us narrow down the diagnosis anddemonstrate that the sacroiliac joint is the

cause of the pain. If the patient's history,physical examination and pain provocation tests suggest the SI joint is the source ofthe pain then we consider diagnostic SI injections. A diagnostic injection is done under Xrayguidance to make sure that the injection is in the right place. We use Lidocaine or Novocainelike when you go to the dentist's office. If there is 50 to 75 percent improvement inthe pain, even briefly, that's the sign that the sacroiliac joint is the source of thepain. The patient is asked to keep track of theirpain before the procedure and after and sometimes keep a pain diary for the first few hoursafter the injection. If they have significant

improvement then we like to think that's thespot that's causing the pain. Most patients with sacroiliac pain do not need surgery.The range of treatment options available to a patient include medications, physical therapy,external support like a brace or a sacroiliac belt, therapeutic SI injections where Cortisoneis added, radio frequency ablation is another possible treatment that is given by some painmanagement physicians. Traditional open sacroiliac fusion is a bigsurgery, relatively bloody and has a long recovery. Recent advances in minimally invasivesacroiliac fusion offer a new option. The iFuse implant system is a technique for minimallyinvasivestabilization and fusion of the sacroiliac

Common Provocative Tests for SI Joint Pain Diagnosis

G. “Ty� Thaiyananthan MD, FAANS: One ofthe ways that we as s can diagnose SI joint pain is to perform some maneuvers inthe called provocative test that place stress on the joint to replicate SI jointpain. Some of the more common provocative al exams for diagnosing SI joint dysfunctionresulting in SI joint pain include a Gaenslen's test. With this test is we are actually goingto have the side that's affected hanging off the edge of the table and we are goingto apply a downward force and a rotational force across the joint to see if we can replicatethe pain in that joint. Unlike the other test, this test specifically creates a rotationalforce across the joint. So, I need you to

have you come over the edge of the table andthe key to this test is really to have the joint off the edge of the table and what weare going to do is we are going to let this leg hang, so it gives us a plain where weactually rotate the joint through and I am going to bend this leg and I am going to applyforce that pushes out on this knee and down on this afflicted joint creating a rotationalforce across the joint. Do you feel pain over thaté Patient: I do. Ty: Okay. The Faber's test or flexion abductionexternal rotation test, for this test I need

to make a figure four with your leg and thiscase we are going to be testing the left side. am going to apply some pressure to your hip,on your right hip and I am going to push downwards on your left knee. It is that where you arehaving a low back pain after the side. Patient: Yes. Ty: Does it radiate down to your leg. Patient: Yes. Ty: Okay, perfect. The thigh thrust, I amgoing to have you bend your leg here, it is a same concept what we are going to do is,we are going to be applying a downward force

through your SI joint to see if this replicatesyour pain. It a constant force where we push down on your knee straight down perpendicularto the table. Do you feel thaté Patient: I do. Ty: Okay, and the compression and distractionexams. For this, I need to have you lie on your side okay we are gong to have you lieon your right side, and typically what I do is we put the afflicted side up and thereis a couple of different techniques we are doing this. We could actually do it eitherway, my preferences is to have the afflicted side up and I am going to apply a constantdownward force pushing straight down through

your SI joint to see if we can replicate thepain. Do you feel anythingé Patient: I do.Ty: Okay, perfect. The next test that we are going to do is for the converse of the compressiontest called the distraction exam, and what we are going to do is we are going to applyforce distract over the joint to see if we can replicate your pain. The concept is toapply force going outwards, so we are going to apply some force going outwards like that,does I creat pain. Patient: Yes, it does. Ty: Okay, the key with this test is the mixtureof the force is going outwards and not necessarily

pushing down. If you have at least three ofthese tests which are positive, there is a good likelihood you may be having pain thatis originating from SI joint and you may be a good candidate for some of the treatmentsthat are out there for treating SI joint dysfunction.

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