Treating RSD – CRPS with Frequency Specific Microcurrent

[00:00:00] So, this is our RSD patient.

[00:00:05] He had knee surgery what year 2003 2003 on his right knee for a torn ACL and what Ruben and removal of cartilage and following the knee surgery he developed pain and we treated the RSD on and off and the perpetuating factor. Is that close enough David you want us to

[00:00:35] This table the perpetuating Factor at this point appears to be gluten exposure. So he is non-celiac Gluten Sensitive with the two genes that create neurologic inflammation with gluten exposure. So he had gluten somebody lied to him about what was in the food last night. So he was up with leg cramps and knee pain last night today came in his right knee was cold.

[00:01:05] And wet and numb in hyper aesthetic. Okay, so I’m going to do a sensory exam and you mark down the area. I need you to tell me where it’s icky and where it’s numb. Okay. I’m going to start down here in your foot. So, can you feel that?

[00:01:28] Just prickly should just feel prickly does this foot and this foot feel the same. Okay, so I’m going to come up your leg. So this is L5. This is our SD is in this particular case. Do you remember what nerve it was? It’s in Netter. There is a cutaneous branch of something here below the knee that the surgeon nicked RSD after this kind of knee surgeries.

[00:01:56] Not Unusual it is why if you’ve ever looked at the net of nerves that goes around the knee it’s amazing that any knee surgery ever happens. It doesn’t damage the nerve it’s a it’s not the lateral femoral cutaneous. It’s a one of its one of these when it’s tibial anyway, so I’m going to use the pinwheel they’re hyper. Okay, so it gets nasty. This is

[00:02:26] Permanent ink

[00:02:29] It’s okay. Okay, and it smells really bad. I’m going to I’m going to put ballpoint pen. That’ll be easier.

[00:02:37] I think

[00:02:45] Okay, and I do this in the clinic. So hyper

[00:02:57] You bring your bench or need bring it up. There you go.

[00:03:03] Somebody get a copy of Netter so we can name this thing.

[00:03:14] Let’s see if we can find a side to it.

[00:03:19] Here you have to open one. That’s okay.

[00:03:26] I don’t think so.

[00:03:28] Okay. Do you see a pattern the margin you can’t see it on the tape, but it’s a it’s an oval so far.

[00:03:42] What’s your resting pain level right now?

[00:03:45] But a six so it usually gets around a seven when he gets bad.

[00:03:52] Okay, relax your leg. You’re starting to kind of facilitate Pacifica late there.

[00:04:00] Now up here where the RSD is there. You can kind of see where the curve is going to be.

[00:04:08] I’m going to come down from the top.

[00:04:21] Really Carol that’s going to be the knee like below the knee so lower leg.

[00:04:31] How sorry?

[00:04:38] Come down from the top.

[00:04:41] You’re going to see right there. Sorry here. Oh, okay, that actually makes more sense.

[00:04:55] So you can see this place.

[00:04:59] Anterior. It’s right there.

[00:05:04] Or there’s also a condition superficial fibular nerve or peroneal nerve and there’s a sensory diagram actually move this somebody anybody familiar with Netter Ben. Can you find there’s a sensory diagram for the cutaneous and the dermatome nerves. So I’m going to come up here. What is it can bolster their second bolster anybody have another bolster?

[00:05:36] Okay round the back.

[00:05:41] So there is an acute Aeneas nerve with this distribution. So the field for the cutaneous nerve has expanded for the hyperesthesia.

[00:05:52] They’re okay. Now some portion of this is numb.

[00:06:02] So the numb place

[00:06:06] Okay, so it’s going to be icky and I need you to tell me when it goes from icky to num num is there so the num area is going to be the place where the nerve is really gnarly.

[00:06:28] Sorry numb.

[00:06:35] Okay, so the numb spot is here.

[00:06:42] Here here and this never goes away that never goes away but the numb spot that comes comes and goes with the RSD is here here here. This is where the nerve was necked when we find the right diagram. You’re going to see it. So yeah, there it is it is.

[00:07:11] Branches of the lateral cutaneous nerve that’s the one that innervates this area and the cutaneous branches.

[00:07:21] There’s a there’s a cutaneous nerve diagram. Okay, I looked it up. Yeah, so that’s its the lateral Cyril cutaneous nerves on the lateral side. And then there’s this so patellar nerve plexus. Yeah. That’s medial. This is lateral.

[00:07:42] So I’m going to go grab too hot wet towels. I hope.

[00:07:58] Now so when you treat RSD.

[00:08:06] You’re going to treat two pieces of it.

[00:08:11] You want to bring this up? I’m going to need for.

[00:08:17] Let’s have to Precision cares because with RSD there is your taping this right David with RSD. There’s always Central sensitization and there’s always a central component. So I’m going to treat from the low back positive.

[00:08:36] And if you think I get to treat this kid very often you’re you don’t understand 30 year old males.

[00:08:48] Okay. Well, it’s been gone for

[00:08:52] How many months it’s been gone for two months. We treated a couple of months ago and we got it to go away. Well, these are cold. I thought I got it hot. I lied. That’s okay you prefer called. Okay, and then we’re going to need another one for around the neck. If somebody would take a Precision Care wrap that the red and green in the in.

[00:09:24] So with this one.

[00:09:28] And you’re hydrated, right? Okay.

[00:09:31] With this one you set it up and we’re going to teach our SD tomorrow morning. He’s pretty fit. He exercises were going to take this to 200 micro amps 40 and 396.

[00:09:46] Poor as a positive starting pain.

[00:09:53] Is a six that’s where we start.

[00:09:56] Then we’re going to take huh after the exam you change it to a 7 soft touch is excruciating in RSD. So the pinwheel exam was bad enough the fact that the pin wheel.

[00:10:17] That’s a show.

[00:10:19] This is a shell. No, it’s a Precision Care that the shell is the is a 1300. This one works. Okay. So this one the fact that the exam aggravated everything there is Central sensitization involved in RSD. So you can treat the spinal cord without having to treat the affected legs. So

[00:10:45] You were asking. No, it was her. She was asking deep was asking about treating the opposite leg with RSD one more bartender. Oh, no, it’s okay. There’s enough water. He likes it cool. So somebody set this at 40 and 10.

[00:11:08] It’s okay. I thought I poured in a boiling water in there to make the ball. It was chilly. No, you’re good. This one is warmer than the anyway, so you’ve got the red and green leads at the neck and Central sensitization. Let’s move the machine over here. That’s why we have Rowley carts except that we don’t have really cards. I almost brought that one from the garage. And so this one maybe set that on.

[00:11:38] Cheer, we’re going to put on 40 and 10.

[00:11:43] And wrap it around. Well, what the heck there we go and bring it over this way.

[00:11:56] So this is real life. I got to tell you. It’s wonderful having real RSD patient to treat its kind of fun. Well, not for the patient so much.

[00:12:07] So you can wrap this around both feet or just one foot and push 40 and 10 alter. Come on Carol. Really?

[00:12:17] I push the on button instead of the Run button.

[00:12:20] Hello.

[00:12:24] Okay, 40 and 10 alternating. He has no spinal stenosis just polarized positive now. This is running on the spinal cord.

[00:12:35] And you can relax you can relax your left leg if you want if that would be comfortable whatever you want to do.

[00:12:45] So this is the part where it’s kind of like watching grass grow. You wait, the biggest problem is inflammation in the nerve the fact that gluten exposure makes it worse. So his symptoms last night from gluten exposure were body pain joint pain his knee started to hurt. He breaks into a sweat. What was the other one?

[00:13:13] That was a tit. Yeah, and that’s what happens when he gets gluten.

[00:13:21] Two years

[00:13:30] Last one was January and it’s usually an accident are they lie about what’s in the food? What was it? It’s always an accident. Yeah, you don’t mess with this kind of pain. So pretty quick.

[00:13:44] How’s your pain level pain levels coming down. You can kind of tell by his breathing and his blink rate.

[00:13:52] See watch the blink rate and I’ll make him self-conscious about it. But in point of fact when they start to Blink what happens when 40 and 10 starts to work is they stay closed just a fraction longer normally when you blink it’s down and up you watch the blink blink rate post-op, right and in pre-op, you use use it to assess medication do the same thing here. His endorphins are heading up substance p is heading down takes about 20 minutes.

[00:14:22] It’s pain is 0 to 10.

[00:14:28] Still sick, so I’m from a 7 to a 6. That’s nice.

[00:14:33] 40 and 396 he he was it was cold and sweating today. So he’s not dinner vated. It’s warm. So that’s an improvement right there. Is that okay? No, huh? It’s out. It is it’s yeah now that so soft touch with an RS D patient is excruciating because of the denervation so you can can I touch your leg it’s going to be

[00:15:03] Firm and quick ready? 123 that is okay, right?

[00:15:12] This is not it will be excruciating. The can’t wear trousers can’t wear pants. You went to years and wear shorts when this first happened.

[00:15:24] His knee just heard we had no idea had RSD. It was blue purple cold dry. He had hair that was gone around it kind of had the full picture hair has grown back.

[00:15:37] We finally treated it two years ago.

[00:15:42] It was a couple of years ago.

[00:15:44] And then we found that’s when we found out that the gluten is what made it come back. So.

[00:15:51] Don’t that I’m that I’m this is like watching grass. Grow. What do we got cutaneous nerve? Oh, there it is.

[00:15:58] Lateral syrup. That’s it lateral cutaneous nerve is that one and then this above-the-knee is new.

[00:16:14] It’s kind of it becomes know that is it and then that’s the lateral femoral cutaneous nerve.

[00:16:20] But not exactly huh?

[00:16:24] This is wrapped around and post here.

[00:16:31] Interesting. So Netter is my friend. So those are you want to go eat dinner can go and I’ll tell you how this turns out in the morning. But basically this is how you use two machines to deal with Central sensitization. So we’ll do 40 and 396 until this one gets better. How’s your pain level for? So once it gets down to a 2 then you can start messing with it, but you just wait literally you cover them up with a blanket leave the room.

[00:17:01] You don’t have to be there for this part. It takes 20 30 minutes to treat the nerve. So the pain is gone from a 6 to a four and I would be willing to bet that the hyper sensitive area will have receded as well. He never he’s never had any motor weakness. Some patients will get paralysis because it affects the sympathetics in the motor nerves as well.

[00:17:24] People that say again. Oh, that’s right. I forgot about that.

[00:17:31] So it was quite atrophy. When did that go away after we treat it?

[00:17:37] Okay, so we treated about a year and a half two years ago. And I guess the quad started working. That’s kind of fun. I forgot about that.

[00:17:46] And it wasn’t like, uh, we treated it multiple times. It was maybe twice in the living room. I was in your office once in the office you were yeah, I never let him he never lets me keep him long gotta go Mom. All right, so we could maybe make it a little sharper.

[00:18:15] Dependable

[00:18:21] Stole for 3 so 3 4 so it came down half a notch.

[00:18:28] And the lights and the attention he’s still awake but in a regular patient with a 40 and 10 going and the nerve pain going to get pretty stoned and they just they would not willingly keep their eyes open. So you could close your eyes if you want it. It’s all right.

[00:18:46] So that’s what you do when you start treating nerve pain patients. There’s just a certain amount of patients involved everything we do here in the in the practicums. There’s a lot of manual stuff your palpating you’re feeling you’re moving the tissue you’re doing this doing that. You don’t have to be here for this part the current and the frequencies do this and you just wait. It’s like watch watching grass grow.

[00:19:15] Just wait and I think what we’re doing is that the voltage the current that flows from where that nerve comes out to where the nerve ends.

[00:19:27] The because the current is fold flowing there’s voltage where there’s voltage. There’s enough voltage to flip the voltage gated ion channels the calcium and potassium and sodium channels in the nerve and you flip those things and close them and you make the nerve stop leaking you okay?

[00:19:51] What’s that doing? And when it pops it feels better.

[00:20:01] That’s what I think we’re doing. Now. I have no proof that that’s what we’re doing. I want somebody who has a squid axon and a lab where you can Flame the heck out of the squid axon, and then you can treat it with microcurrent and see what happens.

[00:20:18] You can do it in mice and rats, but they have little teeny nerves. I think it’s squid axon be really fun.

[00:20:25] Do you have anything to do with why I didn’t want to talk say again?

[00:20:37] He just prefers cold.

[00:20:42] Hot water it hurts. Wow, that’s right that all comes back to me. I haven’t treated him in a year. So while okay now hypersensitivity. How’s that? That’s okay. How’s this?

[00:21:02] Tell me when it gets sticky.

[00:21:06] Huh? That’s my finger. What’s it feel like? Oh,

[00:21:18] So this is a touch to his eyebrows and the field of expanded sensitivity is about an inch and a half smaller. So it’s an object of measure of his subject. Did that jacket up?

[00:21:30] No, okay. It’s an object of measure so you can trace this. So when his pain gets down to a to the hyper sensitive area will usually be compressed back down to this original area.

[00:21:44] And just you just wait.

[00:21:52] Yes, yep acos fine. We thought he had a screw in his knee because he’s got this big bump and it’s a bone spur from the tension on the tendon.

[00:22:09] Yes. Yeah, the RSD is from the surgery. So most certain you’ll see it tomorrow when we talk about RSD the cases of RSD that I’ve seen some of them are from post-operative damage to the nerve it always is some sort of peripheral damage to a peripheral nerve from some sort of trauma doesn’t come from space. It’s a sprain. It’s a fracture. It’s a needle stick blood draws a certain percentage of blood draws result in RSD like

[00:22:39] Percent, it’s crazy three percent.

[00:22:45] Seems really high.

[00:22:47] But I had one practitioner call me said I just did an IV on somebody in her arm turned white and broke into a cold sweat. She’s not getting RSD in my watch and I don’t remember what you said to do so they came and got me out of the room. And I said that’s not that hard just 40 and 396 40 and 562.

[00:23:07] I could try 40 and 562.

[00:23:15] Which is

[00:23:22] So this is on 40 and 562 that one son 40 and 10 ones going from neck to feet because oh, you know what we could try we could try this.

[00:23:32] Okay, lift up your foot there. We could run 40 and 10 through both feet. Maybe that’ll make it go faster. It’s been 20 minutes. Say again. Yeah.

[00:23:50] 4562 now so our SD is nerve and sympathetics his is wasn’t cold. It was cold and wet earlier today. So mostly I think it’s just the nerve inflammation and I think the gluten up regulates inflammation the inflammatory response in general the gluten genes. He has his sister has Celiac he is he’s got the same genes and I do it’s the non celiac.

[00:24:17] Gluten sensitivity that results in nervous system inflammation from intro lab.com. It’s the HLA. I forgot to tell you what test is we’ll do it tomorrow when we get to the visceral stuff, but it’s $149. It’s HLA dqb one it is a genetic test and it’s just a cheek swab HOA dqb one and they give you all four alleles. So if you have one and two you have Celiac if you have four or five or six it.

[00:24:46] Non-celiac gluten sensitivity that is causes nervous system inflammation. So genetically in my family the women on my dad’s side all had they lived to be 92, but they were all completely demented by the time they were 80 this gone. Didn’t know where they were her. They were great awesome women but nervous system and they’re Italian so they’re eating pasta and Wonder Bread.

[00:25:16] Read French bread.

[00:25:19] How’s your pain level?

[00:25:22] Hmm to okay.

[00:25:28] Say again.

[00:25:43] Cirrhosis

[00:25:48] Right

[00:25:52] Directly it’s from a gluten allergy and sensitivity that makes sense. I have one of those and we treated a liver for inflammation can get her better. How’s your pain level?

[00:26:03] To okay once it gets to a to you’ve got a little bit of latitude. So moving. I think moving 40 intend to his feet made a difference.

[00:26:17] So, where’s my PIN?

[00:26:21] Let’s see what we got.

[00:26:24] Is it easier to use my finger or the pinwheel pinwheel? Okay, so poke wheel down here at your foot. Let me know when it gets sticky.

[00:26:51] See the difference in the receptive field.

[00:27:01] This way

[00:27:04] This one that one I need. Oh this way.

[00:27:11] Where was I?

[00:27:19] Oh, yeah, it was supposed to always do the good good leg first.

[00:27:42] So what we’re down to pretty close, we’re not quite there yet, but the original numb spot where the nerve just is gone.

[00:27:56] So this is the original numb stop now is this numb Stiller’s it hypersensitive?

[00:28:02] That’s not this is now but up here is not numb.

[00:28:07] Okay.

[00:28:13] And well, so it gets smaller and in a perfect world if he’ll let you

[00:28:30] Can I try something?

[00:28:32] I had one of my

[00:28:37] Huh? I’m not running away. One of the docs. Where was I we’re at a seminar Hartford. He has RSD patients and he said he thinks it’s the homunculus in the sensory cortex. He thinks it’s not just the spinal cord that get sensitized or the thalamus that get sensitized. It’s the sensory cortex, right? Because some RSD patients will generalize right from the start sanding.

[00:29:06] Egg then it shows up in the hand on the same side. Then the shoulder than the arm shoulder and it’s the homunculus. If you look at the homunculus in the sensory cortex, it’s like a person folded up and if it’s in the right leg, the next thing to go is the right hand. Hmm. It happens your hand gets hypersensitive.

[00:29:34] Always the last to know yes, okay, so I’m wondering if we ran This is 40 and 10 to quiet the cord 40 and 90 to how’s that feel?

[00:29:52] Good.

[00:29:55] So that’s the sensory cortex for brain is 90 sensory cortex is 92.

[00:30:07] So we could do if you’re going from the chord you’re going to go up to the medulla through the midbrain then to the sensory cortex. So I’m going to do 40. We already did 40 and 10. I’m doing 40 and 94.

[00:30:26] For in 1489

[00:30:31] Dude, that’s kind of fun.

[00:30:36] You don’t go smush very much.

[00:30:39] In 1492. So you chase the spark you chase the neural pathway. So that makes sense. So from the periphery 40 and 396 40 and 1014 the medulla 40 in the thalamus because their Central sensitization and then because it’s RSD it ends up in the sensory cortex, and I didn’t know till this second that he gets hypersensitivity in his hand who knew

[00:31:08] So now that we’re doing the sensory cortex, I wonder related bring that up and it’s like who knew right? I’ve never asked you before because I didn’t find out until the practitioner and Hartford told me about it. It’s like well, if you know more about the mechanism of a pathology or condition, you can treat it better because you know what to treat never would have thought of it.

[00:31:37] Touch your knee

[00:31:39] Pretty much you don’t touch and RSD patient without warning them.

[00:31:43] Does it feel any different? Yeah.

[00:31:47] Seriously

[00:31:55] Say again.

[00:32:02] It’s like right there that hurts. That’s it. That’s it. Once you get pressure on it. It’s not.

[00:32:10] Better he looks very confused which is kind of fun. Okay. So let’s try the leg again on your left leg on your right leg.

[00:32:22] They’re so look what happened to the field.

[00:32:28] In the last 20 minutes, it’s not interesting.

[00:32:38] Okay, so the original we’re down to just the damage from the original nerve injury. Let’s see what happens at the top.

[00:32:48] They’re cool.

[00:32:51] So all of the hyperesthesia that was up here that’s gone.

[00:32:56] It’s icky.

[00:33:02] Okay. Say again. Oh, that’s that’s good. Not punching. The doctor is nice.

[00:33:12] And what’s your pain level?

[00:33:21] Okay.

[00:33:23] We’ve never treated a sensory cortex before.

[00:33:26] Who knew I guess I get to email then kaathal a yes.

[00:33:33] Yeah, Ben.

[00:33:37] Now one of the last things you do with RSD. Anyways, you increase secretions which wait till the pain is gone. Then you increase secretions in the nerve and the sympathetics to get them to lock into the periphery.

[00:33:51] I’ve never done that with him. I’ve never gotten far enough. I just quit when we get the pain down.

[00:33:56] All polarized. Yep all positive.

[00:34:08] We could try 20 and the cord who was it that was who was saying they use 20 in the that was you 20 in the court.

[00:34:17] Just totally gone. They’ll be kind of be kind of fun 20 and what?

[00:34:23] Four seconds. I like that. Uh-huh. Run what PTSD? Absolutely.

[00:34:34] We’re going to do 20 and the sensory cortex.

[00:34:43] That change anything.

[00:34:46] He’s gone. Whoa. Whoa, that’s really cool.

[00:34:54] 20 on 92 the sensory cortex

[00:34:59] That’s a mate. Yeah. Yes talking until about 5 seconds ago.

[00:35:05] That’s pretty cool.

[00:35:12] Awesome

[00:35:14] Do whatever you want to bring much.

[00:35:24] Yeah tomorrow. Hi there, uh-huh about five seconds into it two seconds into it. I changed it to 20 on a and 92 on B, and you were just gone.

[00:35:39] You back? Yeah, how’s your leg feel?

[00:35:45] Does it hurt?

[00:35:57] How much longer does that actually if you treat me like that setting up? Yeah, well, it’s numb just along that Ridge. It’s nothing there and that’s it. Yeah, and it doesn’t hurt around it and it doesn’t hurt.

[00:36:16] When was your surgery mm? So this kid’s been in pain for 11 years? Okay, fine. I’m stubborn little bit. Would you have any seal? Yeah, yeah.

[00:36:34] This is 20 and 89.

[00:36:39] I don’t think so. We got conductivity on both channels. You’re good go to sleep.

[00:36:47] 89 some mid brain is the sensory cortex and that’s I got a I got an email Ben Ben tonight. That’s crazy. Never done that before.

[00:36:59] Last time and we got on a video that we did some kind of Miracle one was that three three years ago we did and we didn’t get it on tape. Yeah. Oh my God, kicking myself ever since then it was that was the girl who was a girl with a smashed leg Yeah. I mean she went from not being able to bear weight or walk to walking normally an hour and 15 minutes. It was crazy.

[00:37:29] Crazy

[00:37:39] So I’m on 20 if you follow the spark from 92-89 through the medulla for where we have brain Parts 94 is the medulla then we’ll do 20 and 10 and then 20 and 396 and see what we get. Thank you Tori. I’m so glad you’re here. I never

[00:38:01] Would have done that.

[00:38:16] Okay, yeah.

[00:38:23] Okay. Do you see the confusion in the face? How long have you been in pain 11 years. What’s your pain level right now?

[00:38:35] We stand up zero. I don’t want to say that yet is right so that completes.

[00:38:44] Uh-huh.

[00:38:46] So

[00:38:48] When you get somebody out of pain, that’s the look that happens that look it’s confused. It’s

[00:38:58] Something’s not right it feel huh? No, it’s not pre Panic. It’s like if you think about what has thalmus has done. He’s been in pain for 11 years. There’s no pain there. There’s no representation for his right leg in the pain pain pain centers in his brain.

[00:39:20] So there is a certain amount of confusion. So I’m going to go back and treat the thalamus because that look of confusion you’ll hear about tomorrow when we talk about fibro you get a patient from an 8 to a 0 in 90 minutes. If the the verbal ones will say I feel as if I should be in pain, but I’m not

[00:39:43] That’s what it feels. Like I feel as if I should be in pain, but I’m not feels like something is missing. It feels like something is missing. Yeah, I feel as if I should be in pain, but I’m not.

[00:39:54] So that sensation resides in the midbrain So Adam. Yeah, you odori roses and dinner copy check 20 on a and 89 Sagan what kind of wine?

[00:40:13] Red Little P nodes Goods Resveratrol. Yes, ma’am.

[00:40:24] All of a sudden this system and we don’t know how to act because we because it’s different. Yeah, and when it’s yeah, so there’s going to be physical consequences when he stands up. I’m actually in have to teach him to walk again because his brain won’t be able to find his leg without the pain. That’s another by now. It just is his brain won’t know what to do with it. His cerebellum is used to

[00:40:53] When I move my leg it hurts. So if he moves his leg and it doesn’t hurt, how does the cerebellum know where this thing is.

[00:41:03] I will it’ll get there it’ll get there. Okay, and this is 40 and 89 if you watch his face.

[00:41:20] Yeah. Well, this is a yes.

[00:41:23] So This Is 40 and 89 and you watch the face until the confusion goes away and we take any place from one to five minutes. Yeah, we’re going to need I’m going to send a customcare home with him with just PTSD protocol right 89s, the thalamus okay. You see the look on his face.

[00:41:47] Not as confused not normal yet, but you see the shift and just the facial expression.

[00:42:01] Missing something is that why he was driving thinking? Oh, that’s possible. Well, we kind of messed with the sensory cortex and changed it. So maybe I don’t kid.

[00:42:15] What’s your pain level?

[00:42:18] I don’t know. Okay, that’s fair enough. Does it still feel like something’s missing?

[00:42:25] Maybe

[00:42:27] Okay, maybe that’s good coaching. You feel cogent not as stoned. That’s good.

[00:42:37] He’s 30 Old Man.

[00:42:40] Yeah. Mmm, so my baby, but the frustration of not being able to help him and not having him be willing to ask it’s been a thing. So I’ll run the concussion protocol when I get home. I got my own work to do but for the average for the average patient this if it was an average patient at this point, there would be some hugging involved when he stands up and he’s able to walk and it doesn’t hurt. They’ll be some more Kleenex involved and you just wait.

[00:43:11] Okay, you just wait and you let them work through it.

[00:43:20] There

[00:43:25] Yeah, it’s kind of Misty 11 years was your pain level at a 7?

[00:43:31] Yep.

[00:43:34] How’s your knee feel like fabric? That’s awesome. Like drugged me and make me some table. Have you ever tried to drag you in and make you do anything?

[00:43:52] Yes, how’s that working for you doesn’t work very well know so you kind of have to wait patients ready the dr. Pierce.

[00:44:01] It’s not particularly coincidence. You can’t you can’t want the patient’s recovery more than the patient wants it. So you just wait know where to find me but the trouble with

[00:44:25] Expectations is like it’s not that they don’t want to be held its who knows the Myriad of reasons why yeah, and people are mean to them and people accuse them of being whatever and you stupid brace for five years or a stupid brace for five years. Well, at least it compressed it so it didn’t hurt but I don’t know if this’ll be any comfort but 10 years ago. I didn’t know what I know now about treating RSD we

[00:44:55] Got it turned off for about a year and a half but I never did this. I never did 20. I never did 1492 because until a week ago. I didn’t do no 1492 until I talked to Ben kaathe Olli in Hartford two weeks ago. Didn’t know about that say again, would you say yeah didn’t know about it.

[00:45:19] And then 20 and 10 never did that before 20 and 92 is what knocked him out just that’s when he just went away for two minutes three minutes who knew?

[00:45:31] And I lost my ability to see red spectrum light when I came back.

[00:45:36] You can’t the lights. Look what green know them. Now they look like for us in lighting but what they look like before hi blue in this looks more normal. Yeah. This is like, oh it’s a sensory cortex. Duh. We treated 92. We really change the sensory cortex. Okay, you think you don’t think this stuff really works to you seriously?

[00:46:11] Who’s that Esther? Okay, then.

[00:46:18] How’s your pain level still is zero.

[00:46:22] Can I touch you? Okay, I’ll wait till you get up.

[00:46:29] How’s that feel?

[00:46:31] That’s right.

[00:46:38] Same pretty damn close

[00:46:44] Oh, there’s no muscle there.

[00:46:47] Well, there’s muscle. Oh, maybe it’s not as much upper part of The Tib anterior is a little bit atrophy to poster is a little bit after feed you my phone there. This is muscle. Oh, yeah.

[00:47:06] How’s the bone feel you really need to work on what I need to work on my right leg work out your right leg Yeah. Well, we can fix that. We’ve got goosebumps.

[00:47:19] On the right side not on the left somebody switch that to 40 and 562 if you would please.

[00:47:27] Goosebumps are 562 is a sympathetics Goosebumps are sympathetic. So we just going to write the sympathetics down because they’re a little confused.

[00:47:42] Yeah, it’s just Goosebumps just on the right leg. It was both sides. I wouldn’t treat it but the right leg come on.

[00:47:51] It’s like the hair follicles that looks like it hurt. Yeah, the hair follicles hurt and the hair follicles are innovated by the sympathetics and so are the sweat glands.

[00:48:02] So I just quiet down the sympathetics. Is that better?

[00:48:09] Okay tincture time. I might be doing something wrong.

[00:48:16] Yes.

[00:48:20] That better. Okay. So, you know the language what tissue is it what’s wrong with it? What makes Goosebumps the sympathetics how do you treat Goosebumps quiet down the sympathetics. They think there’s something wrong quiet them down.

[00:48:40] That was a nurse to me. Yeah, Chris is proud.

[00:49:01] Okay. Now, let’s see if I can provoke some Goosebumps. How’s that feel?

[00:49:09] It feels weird that you’re touching it feels where that we’re touching the bone and it doesn’t hurt that right there. Uh-huh. There’s muscle over that and there’s not over that do you feel that? Well, you’re different spot so that yeah, there’s there’s no muscle on on there. It’s just periosteum, but there’s no fat. Yeah. Here’s the muscle. So they’re in there. Yeah that part right there that part that Ridge. Yep, that hurt know that

[00:49:39] That’s what fuels we we can roll over. It feels weird because it doesn’t hurt its. Yes the difference. Yeah.

[00:49:45] Now instead of whatever.

[00:49:55] This is a hello toes.

[00:49:59] Yeah, it is until the next time he gets gluten will find out but I’ve never done this much. I’ve never done the brain stuff.

[00:50:09] Corn chips corn tortillas

[00:50:16] They tasted good be corn flour wheat flour is oh you asking me that are all coordinates. And that’s usually how I read into it because they lie because what

[00:50:40] Yeah, okay. So what I’m going to try in this one, it’s going from your

[00:50:49] Bring your leg up. Bring your toes up contract that muscle any pain with that.

[00:50:56] No, okay, what I’m going to do once you get the pain to and it’s pretty much zero, yeah.

[00:51:02] Okay, so you’re going to run 81?

[00:51:10] You haven’t got a real zero out of me ever. That’s just over the table. Yeah, I’m fine Mom. I gotta go. Okay. This is 81 and 396. And while you’re while we’re running this I want you to bring your toe up and just contract these muscles nice and easy about 50% There you go. And when he does that he gets little fasciculations. So we’re just going to relax it.

[00:51:33] Point your toe a little bit go ahead and point it. Is that okay? Okay, bring the fine twitching.

[00:51:45] Okay, relax, bring your toe up towards your knee.

[00:51:52] Better, how’s that? Feel different same huh? Like you’re moving your toe. Does the muscle feeling of different than it did before is it the same are you talking like before two seconds ago before two seconds ago before five seconds ago.

[00:52:11] Before 20 minutes ago. Yeah. Okay, so

[00:52:18] If you can see this now, it’s finally settling down when he points us toe up here bring it up. You see the flickering in here. That’s the D nerve aided part relax. So I’m on 81 and 396 increased secretions in the nerve 81 and 46 increased secretions in the sarcomere.

[00:52:43] Come on.

[00:52:45] Do me a favor change channel be in there to 10.

[00:52:53] Hang on one second.

[00:52:58] And change channel a 281

[00:53:05] Just give it about 10 seconds. Okay, bring your foot up.

[00:53:14] And relax made it worse leave that one where it is.

[00:53:26] Adjust your fibula.

[00:53:34] Just trying to get the muscles to pull the fibula out of the way. And yeah.

[00:53:45] Okay bring in toe up.

[00:53:49] Better that one’s on 81 and 10.

[00:53:54] This one’s on 81 and 396 bring it up again.

[00:53:59] Can you do me a favor and change that to what 81 and 84?

[00:54:04] 84 on a 81 on be

[00:54:09] 84 on be sorry 81 on a it’s going to be had 81 and 10. So increased secretions in the cord 81 in 84 is increased secretions in the cerebellum. So we’re trying to reconnect this leg with the cerebellum should be polarized positive it is, isn’t it? Yeah.

[00:54:29] How’s that feel Adam?

[00:54:32] Pretty cool pretty cool

[00:54:38] Come on, there it goes. Okay. Can you see I don’t know if you guys could see the fasciculations before but they’re gone.

[00:54:56] Have you get a sticker to show angles good work having a book until you get the scar tissue and wrinkles? Yeah, we’re going to do that right now. No. Yeah. Well what we’re going to do what what the last piece of this is getting the adhesions out of the nerve. So this nerve has been inflamed and glued down for 11 years, right?

[00:55:24] Does he have a baker’s cyst or is that just with skins with me? That’s just where the Skins moving? I think he’s too young to have a bigger system figures. You are pretty sure Kate is bigger sister small system. You can schedule in the back. It’s a ball just got size of a ping-pong ball. Okay, so I want to treat

[00:55:45] 13 and 396 Loops. We’re going to happen Goosebumps.

[00:55:54] I still want to treat 13 396.

[00:55:58] We’ll take the scar tissue out of your ankles in a little bit. I just want to get the nerve unglued from the surrounding tissue couldn’t couldn’t touch this and you don’t do this and to be keep my pants on right now. Gotta go. It’s not even love you. Bye. I just gotta go. God bless ya, so yeah. Exactly. No you just you can’t touch him until their pains gone in the nerves are

[00:56:27] Then you can do this then you can and now move it.

[00:56:34] So the sympathetics have an opinion about this you see this right leg see the Goosebumps and it’s only on the right left leg is fine. How’s that feel? Hmm?

[00:56:48] Both sides, so just need a quiet sympathetics down. They have an opinion. All right, calm down. It’ll be fine.

[00:57:00] I don’t want to do more without a warm towel. Yeah, seriously, that’s so cool. And I was just wondering because my towel up my foot feels cold, like right above where your singing high priest here. Okay. George will heat up water. I’ll heat up the water here. We out of town.

[00:57:28] I can pour this into their language got to get rid of this stuff and just dilutes it. There we go. That’s actually kind of one.

[00:57:44] And we’re almost done. For those of you that are getting starving. You guys are the ones that stick around you actually stay up until two o’clock in the morning to finish reading the mystery book. Don’t you that’s this group. Let me get this towel one.

[00:58:02] Pretty much. That’s that’s common. We’re almost there.

[00:58:12] On this is cold and let’s reinforce a little bit hotter than I should just dump that whole thing on it.

[00:58:34] I had no idea what I was getting into because he’s never let me treat him this long. What’s really kind of fun?

[00:58:47] What’s up, brother? That’s 13 and 396.

[00:58:56] Say again. Yeah, and there’s there’s it’s so I had an employee one time that had RSD.

[00:59:08] Okay, so you see the Goosebumps and just wait till they go away. And so we used to have as long as she worked for me for about a year. We had our SD to treat every time and she had denervation and she had paralysis. So it was really easy to watch the sensory cortex kick in and the RSD go away is pretty fun.

[00:59:27] Because he got into glucose did we do a protocol for that toxins the gut haven’t done that yet your toes cold.

[00:59:38] Come on.

[00:59:43] Okay, there they go. Goosebumps are going away still the garage and shorts most nights until I can’t feel my toes before I go to bed. Okay move your tootsies. We’re going so contract that muscle.

[01:00:05] What we’re trying what I’m doing right now is 81 and 92 the sensory cortex. Move it. I’m going to reconnect your brain with your foot. No way. That doesn’t hurt.

[01:00:15] Does it feel weird?

[01:00:19] I got actually curl the top of my foot. Yeah, so we found some of this out more intriguing my shoulder and PT when we’d run 81 and 84 it would coordinate the movement but when it ran 81 and 92 the sensory cortex, I could find the muscles. So the sensory cortex is really fun to manipulate doesn’t take very long though lights if you’re late again.

[01:00:47] Lights are turning white again. Is that good? Okay, blue. There were blue before Blues Highway.

[01:01:03] Anyone in Eighty Four eighty one and ten. So there’s one more step to this we’re going to do in just a second.

[01:01:14] And move your foot again.

[01:01:20] Does it feel?

[01:01:23] See how just sort of relaxes when it does what it’s supposed to do. Okay, so we’re going to do before we get you up as just one more thing was scarring in the nerve so were able to move this thing when you go for a walk 13 and 396.

[01:01:50] So this is the Deep branch of the peroneal nerve.

[01:01:53] Awesome feels really good, doesn’t it?

[01:01:58] So inflammation leads to adhesions, so the nerves adhered.

[01:02:05] Peroneal nerve goes clear down to the forefoot you okay. Nope. Keep doing it. Keep doing it.

[01:02:17] Popped it. Uh-huh.

[01:02:21] Just

[01:02:31] What I do just do it, okay.

[01:02:40] Are you grabbing your hip because I would trade you just hit for 13 years. Oh you just the hip by Nestle my muscles and really never let you.

[01:02:49] Huh? My muscles have never let you record your true enough.

[01:03:05] Got it.

[01:03:09] So this would in a clinical practice where you didn’t have?

[01:03:13] We’ve been at this only for an hour. It’s took an hour and 10 minutes.

[01:03:24] What did you say silly boy?

[01:03:32] Okay, so this is and you’re going to see in a minute why we’re doing this is because he’s got to be able to move this leg when he gets up. And if the nerves are adhered it would take another two or three visits and I’ve gotten greedy now. I want to fix this thing.

[01:03:52] Huh movie scene

[01:04:00] Oh, that’s not. Oh my God. Holy smoke.

[01:04:09] 13 and 396

[01:04:16] Oh.

[01:04:20] Did you just move my patella? Yeah, feel it.

[01:04:36] That patella does not move.

[01:04:39] I mean it does now. Holy smoke this it is supposed to move that much. Oh my God, Adam.

[01:04:55] Holy smoke

[01:04:59] I had now what’s the current setting of 13 and 396 just scarring in the nerve?

[01:05:07] Wow, okay. I didn’t expect that. I figured the kneecap was just glued down. We’re going to leave it there. But that was just starring in the nerve and the cerebellum said you aren’t moving that knee cap. There’s nerves that here to that kneecap. It’s not going anywhere.

[01:05:22] Apparently not.

[01:05:26] Hi. Hi who knew right?

[01:05:40] Oh Sophia walking is going to be fun. So here’s the thing. His brain has a macro. It has a pattern it his brain thinks it knows and we’ve treated his brain so it might be better but his brain thinks it knows what the status of this right leg is brain is wrong. We need to get information new information about the movement in this leg to the brain.

[01:06:10] By a method, it doesn’t expect okay by a movement. It doesn’t expect the brain does not listen to anything you do when you do heel toe walking. Nope. He’s going to walk toe heel like a drum major you plugging your ears. Oh, no, it’s just it’s just really an gramming. Okay, okay.

[01:06:40] Alright, so when you get up to take this towel off of your neck and try not to choke on the wires and this.

[01:06:55] I’ll be damned. Yep. Come off on the side.

[01:07:04] Just just sit and put your feet on the floor.

[01:07:20] Okay. So what we’re going to do if you move that chair back a little bit we’re gonna have you walk this way and I’m going to keep a hand on you. Okay? Yep. So what you want to do is like a drum major your brain won’t listen to anything that goes heel toe because it already knows what that looks like. So toe like a drum major and go back towards the back. It’s kind of a normal. Nope back of the room. Okay, and it’s just like that. It’s not

[01:07:50] What’s your name? It just a normal stride, but land on your toe and steadier heel, toe.

[01:07:57] I gotcha toe and then went as soon as you can look up or straight ahead toe toe toe. There you go. You can take a little bit bigger stride as soon as you feel comfortable doing that to toe and you have to keep Santo feels like yep. Bring hasn’t found it yet toe.

[01:08:26] Two straight ahead like a just like a normal gait. There you go. Toe-to-toe and stop turn around.

[01:08:37] Doesn’t matter. It’s the walking. Okay, toe feel the bottom of your feet and the rug toe toe toe to toe.

[01:08:56] To there you go.

[01:09:00] Toto

[01:09:02] Toe if you I don’t know if you can see is gate but as the brain connects with the foot, he’s beginning to lift his heel better, too.

[01:09:12] There you go and turn around. It’s not there yet hasn’t smoothed out when he stops looking at his feet then, you know, his brain knows where his feet are right now his brain still not sure there it goes. You see the difference in the foot movement.

[01:09:29] Can you see it? He’s now lifting his heel and look look ahead. If you can stop looking at your feet and let yourself feel where they are feel the carpet feel the movement of the toes turn around.

[01:09:45] Huh? I know you don’t trust it. Well that makes it that makes perfect sense. We will keep you from falling too too, too.

[01:09:58] Little bit bigger gate let yourself walk normally, but just land on your toes.

[01:10:03] There do you see it? How’s that feel that is feel different? Yes. Yeah, when the brain gets it it shifts instantly. Look up feel your feet feel the carpet feel the carpet.

[01:10:21] Feel the muscles. There you go. Wow. Yeah. Nice Toe to Toe.

[01:10:33] To toe

[01:10:41] Toe almost there.

[01:10:46] You see how it Smooths out?

[01:10:49] Relax your shoulder when thing or not. Nope, you won’t it feels like nope toe toe.

[01:10:59] Toto

[01:11:04] I’m muscle mass in his right leg is quite different than his left. Okay. Try walking normally just like you would with heel strike toe just walk normally.

[01:11:17] She looks confused again. How’s that feel?

[01:11:23] I am able to wear these shorts comfortably and yours.

[01:11:28] Because the way it touches your knee.

[01:11:32] And he’s not walking with a limp. If we hadn’t done the toe heel walking he would be walking as if his foot was still broken. His leg was still not working.

[01:11:49] Come up here do that again. Yeah.

[01:11:56] How’s it feel?

[01:12:02] Yeah, still hasn’t moved. The toes didn’t move before because why The Tib anterior attaches to the foot?

[01:12:13] Tube Interiors where that nerve went foots not going to move as long as that nerve is stuck.

[01:12:22] No skateboarding tonight.

[01:12:30] So far, he hasn’t been able to break anything. We can’t fix you. Just wonder what he’s going to do. Yeah, really? Well, he’s been snowboarding you go. He skateboards, huh? Oh, absolutely when you get you you saved my life. Okay, where’s my activator?

[01:12:51] That Poppin thing we got to put a fibula they didn’t.

[01:13:24] Okay, I mean just your fibula come sit.

[01:13:33] I’m going to go touch this because the nerve that okay. Yeah, he’s surprised because doesn’t hurt try that walk. Take it for a test drive.

[01:13:51] Hope you ain’t gonna break things gone what hope you like to go and break thing when I step out on.

[01:14:07] Music

[01:14:36] And what I said to him off the mic was you have been so brave.

[01:14:40] Rsd and fibro patients have a degree of Courage that escapes most of us just to get out of bed in the morning.

[01:14:51] That’s amazing. Well, thank you. Yeah, that was a might well spent thank you very much. We’ll see you at 8:30 tomorrow morning Yahoo. Yeah, exactly. That is amazing.