a dislocated ankle that has never been reduced. I came to this conclusion when a patient of mine kept complaining of all sorts of pain following a really bad ankle sprain. He was playing basketball and came down from a jump on the outside of his ankle. Xrays were negative. This was one year ago. He wrapped the ankle and rested it. It has not been right since. Then six months later, he fell asleep at the couch. He woke up with a jerk of his head and continues to this day with neck pain and tenderness. While he continues with ankle and feet pain, he starts to develop a groin pain, same side. We find an inguinal (groin) hernia. He goes to a surgeon and is told he needs surgery. He returns several months after surgery and everything still hurts as before. We have had so many visits - i need to look back and count how many - still his pains are unchanged, with occasional temporary relief - I'm trying to figure out if it is his back, pelvis or SI joints. All the while he insists, that he was well prior to the accident, that this accident has led to all of his current problems. So...I take him at his word and go back straight to the ankle. On this visit, I decide that the only way to prove whether the ankle was causing all these problems from above was to get rid of the swelling, get the foot and ankle feeling normal again (which means that all the strains have been reduced) and whammo! everything else should fall into place. With significant force (which I usually do not do) I get his ankle back and with good solid pressures hold the bony placements. Lo and behold - the swelling and point tenderness of one area are almost completely resolved. Then I go to the rest of his body and treat. Lo and behold - everything is easier. I am convinced. Wow. Now I am excited to see what unfolds. I can hardly wait for his next visit.
www.doctorhoang.com
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