Does this help with someone who may need a hip replacement?
@ashleyneumann31693 жыл бұрын
he is definitely NOT relaxed. Also, take off his glasses! He is so uncomfortable!
@ankurshardais3 жыл бұрын
Thanks for such a detailed explanation and for showing both cases.
@rachaelhaines14233 жыл бұрын
Great story Dr. Surve!
@woohoo2013 жыл бұрын
hi how do you find which rib you mean to exert the pressure on?
@yusuf_8374 жыл бұрын
Think I have this problem
@oceandiscovery52884 жыл бұрын
Excellent video. I wish I had these when I was an OMS-1 decades ago....
@oceandiscovery52884 жыл бұрын
The only reason for the question is that I was taught by Ed Stiles that if a patient has a problem with dorsiflexion there is either an anterior tibia or an anterior talus and you treat based on the hardest end feel to passive motion testing. Assuming from history and physical that that region is most dysfunctional.
@YeinLee4 жыл бұрын
As I mentioned before, it is a matter of describing tibia's position in comparison to the talus vs. talus's position in comparison to the tibia. Both perspective is correct. Early learners in osteopathic medicine will learn the perspective of tibia's position in comparison to the talus. In practice (on your own) you can choose to think of it whichever way.
@oceandiscovery52884 жыл бұрын
Ok. Got it! Assuming proper history and physical before hand, if you have a patient with an ankle that is plantar flexed...you have a posterior tibia, but in those cases do you not also have an anterior talus?
@oceandiscovery52884 жыл бұрын
Question: In school, we learned that an anterior talus means that the ankle is plantar flexed. Also, when the talus is posterior then the ankle is dorsiflexed. In the slide, when the talus is "anterior" the ankle is dorsiflexed. Is this a coupled motion phenomenon? Where you have the talus moving anterior and the tibia going posterior? Also, when do you decide to treat the tibia versus treating the talus? Whichever one has the harder "end feel" to palpation?
@YeinLee4 жыл бұрын
My slide says Anterior TIBIA on talus. It is describing the attitude of the tibia in comparison to the talus when the ankle is dorsiflexed. I won't comment on the treatment option as that should be a decision after through patient history and physical exam.
@oceandiscovery52884 жыл бұрын
Is this an app?
@YeinLee4 жыл бұрын
It's not, it is just a video of one of my teaching materials.