Today we are here with Amir, he came intoour office Valentine Chiropractic originally by iving by and seeing our our previousadsthe newspaper regarding Laser and Decompression treatments. He camewith Plantar Fascitisand came to realize after being examined that he really had Peripheral Neuropathy. He wentto Kaiser, tried to put hima cast for 4 weeks and he started to lose strength inhis legs, he was also on pain pills which were making him violently sick. He was lookingfor some other modality to help him, he felt there had to be something out there that couldhelp. I happened to be iving by your building and i looked and saw that you talked aboutbeing Gluten Free and Peripheral Neuropathy,
so I called and talked to your brother Leonard Valentine and had a good conversation and felt very comfortable that you guys couldhelp me with my chronic plantar fascitis. The pain I had was not justmy heels it wasthe whole bottom of my foot hurt plus my heel and Kaiser was telling me it could come fromyour back so they did back xrays, nothing showed up on my back xrays, so then theysaid it was my weight. It turns out it wasn't my weight it turns out I had another ailment,that needed to be treated and healed, so now since starting treatment which has been about2 weeks and the whole bottom of my foot and my heel that I'm not feeling any pain in.So this is the first time2 years that
you have gone 2 weeks without any pain atall? Correctthat's is phenomenal and being off pain pills for a month, that has beenthe first time2 years. What would you say to those people all around the world whosuffer with plantar fascitis or peripheral neuropathy? We work with people all arounddifferent states who suffer with this very same problem, we can help those people aslong as they are willing to reach out. What would you say to the people else where sufferingwith Peripheral NeuropathyI would say this program works, I haven't even beenthisprogram 7 weeks, maybe 57 weeks this has got to be the program that is going to helppeople, I have found nothing else to help
meyour program is wonderful for treatingand fixing people with Plantar Fascitis or Peripheral Neuropathy.
The purpose of this tutorial is to help you understandthe importance of offloading, the use of special footwear, and helping your foot ulcer healas quickly as possible. Healing quickly can reduce your risk of developing serious compliions.Key elements of successful healing are: rest, eat a balanced diet and maintain your bloodsugarsa controlled range, wear the device your tells you to wear at all times,and refraining from smoking. Foot ulcers need restorder to heal. If you were to breakyour leg, your would tell you not to walk on it. It is the same with your footulcer. We rest ulcers by taking off the load, or offloading the ulcer using special casts,boots, or shoes.
The possible compliions from a foot ulcer that fails to heal are: development of an infection,infection spreading to the rest of the body, resultingization, amputation atthe foot or leg, or even death. Foot ulcers put you at considerable risk for amputation.Amputation of part of your foot or leg can lead to changesyour ability to do activitiesthat are part of your everyday life. It can lead to a decreaseactivity, which canweaken your heart and body, making it difficult to control your diabetes. It can also changethe way you walk or move, potentially causing
damage to your other foot and leg. Most importantly,the challenge of having an amputation can lead to depression and sadness, affectinghow you are able to enjoy your family, friends, and hobbies. Normally, your body's responseto pain is a sharp reflex that allows you to recoil and prevent further injury. Diabetescauses changes to the nervesyour feet, and the ability to feel or sense pain. Itrobs your body of the protective gift of pain, or the ability to protect itself. This conditionis called neuropathy. People with neuropathy can walk with a stonetheir shoe and notnotice it. This could cause an ulcer or blister on their foot. A person with neuropathy doesnot know that they have a sore or blister
on their foot because they cannot feel it.By the time you notice the ulcer, it can become very serious. This is why it is importantto check your feet every day for problems. Diabetes can cause the skin on your feet tobecome very y, creating cracks that later become sores or infections. Ask a torecommend a good moisturizer for your feet and heels. People with diabetes can also havechangestheir leg and foot circulation. This reduces the oxygen, nutrients, and bloodsupply to your leg, increasing your risk of getting an ulcer and slowing your abilityto heal. Your may order a test to examine your circulation. Because of these factors,simple everyday activities such as walking
or standing on your injured foot can be harmfulto your healing ulcers. It could worsen the condition or cause infection. If you smoke,it is important that you talk to your about treatments to stop smoking. Smokingis a large reason why people develop circulation problemstheir legs and feet. Continuingsmoking will slow healing to your ulcer and likely make your circulation worse. The bestway to heal your diabetic ulcers is to take off the load by using special casts, boots,or shoes. It is important to wear these all the time, even if you are only taking a fewsteps. The best way to heal a diabetic foot ulcer is to use a special cast called a totalcontact cast. Research shows that more people
treated with total contact casts heal thanwith other treatments. These include bioengineered tissues, such as growth factors or syntheticskin substitutes, and negative pressure wound therapy. They also heal faster than with manyof the newer advanced woundhealing technologies. People treated with total contact casts healin an average of 42 days. gt;gt; DOCTOR: Next I'm going to make this irremovableby adding on a layer of cohesive bandages. s can also adapt your diabetic walking boot so that you cannot take it off. Thishas been shown to be just as effective as a total contact cast. Your may usea combination of wound and offloading treatments
This young man had a problem where he hehas diabetes and he stepped on a nail and he got a very serious infection. He got anulcer on the bottom of his foot and it was down here underneath the second metatarsaland then it got an infection and it dissected up here and went all the way across his footand up through his foot. There was a hole all the way through the foot when we firstcleaned this out. It was badly infected. He's been on this thing called a wound vac, whichis a negative pressure wound therapy machine for about five weeks and he's improved alotthose five weeks. In the next couple of weeks we hope to get him back to work andon with his life. He's a great American,
he works hard, takes care of his family, anddoes the right thing. So we're trying to get this guy back on his feet.This just shows a lot of different principles of taking care of a diabetic foot, and I'lltalk to you a little bit about those. The first one is, this probably could have beenprevented with appropriate preventative measures like a good insole or a custom made deviceinside the shoe to take pressure off these areas. Once he did get an ulcer, that couldhave been treated with offloading with maybe a total contact cast. By some misfortune,he ended up getting a really bad infection. Now we're stuck dealing with a lot of tissueloss, and he's doing pretty well with that.
Once we get him back up on his feet, thereare some things we can do to prevent this from ever happening again. What we're going to apply now is collagen.What collagen is is the building block it's sort of like a scaffold for tissue to growinto. That's one of the reasons we've been able to get this patient to heal so rapidly.He had a lot of tissue loss with a big defect and he's all fillednow because we'vebeen using this collagen material. Collagen is just a white powdery substanceand you just put it on the wound, put it about a quarter thickness. We're going to putthis sponge on. What this sponge does is the
sponge is an open cell foam, which means itall communies with itself. Let's say you were to put one half of the sponge inthe water and suck on it, the water would come all the way up through the sponge, ifit was all sealed, because that's what open cell foam means it means that it's openall the way down. This is open cell foam and that's kind of how it works.Now you can see this sponge, it's all nice and puffy, it's not squeezed down at all.We cut a holethis sealer that we've wrapped around his foot, attach the part thatgoes to the suction canister, plug that in. What this thing does is it maintains the pressureof negative 125 milliliters of mercury continuously,
or you can set it up for alternating pressure.Basically, the principle of it is that it increases circulationthe area of the woundby about anywhere from 2540%, depending on the study that you read. What this does isit amatically increases the rate of healing that occurs inside this foot. This thing cutsthe healing time probably with a wound like the one that you had it would probably havetaken 23 months to heal and this has been about a month. With collagen and the woundvac, we've really amatically decreased his healing time so he can get back to workand normal lifestyle. We'll see you soon, maybe about 45 days, ok?