Download - Golf, extremities for chiropractors
Chiropractic for Golfers’ Extremities
BOATRIGHT CHIROPRACTIC
SEMINARS PRESENTS
Copyright © 2015 Richard Boatright, all rights reserved
DISCLAIMER
• This presentation is intended for chiropractors. It is not intended as a diagnosis for any
particular patient’s condition, nor is it a recommendation as treatment for any particular
patient. The chiropractor or other medical professional has complete responsibility for
evaluating the specifics of his or her patient and arriving at a rational diagnosis and
treatment program based on the doctor’s own training, scope of practice and licensure.
Copyright © 2015 Richard Boatright, all rights reserved
ABOUT THE PRESENTER
• Dr. Rick Boatright, D.C. has been a Certified Golf
Injury Doctor since 2007. He’s the current president
and owner of Boatright Chiropractic Seminars.
• Dr. B. was an instructor with Activator Methods for 7
years and nominated for Activator Chiropractor of the
Year in 1988 for his work with shoulder subluxations.
• He was one of the first doctors in the country to earn
an Advanced Proficiency rating with Activator
Methods.
• Dr. B. was the fourth doctor in Arizona to earn full
certification in the Impulse technique.
• He can identify and correct more than 150 different
extremity subluxations if you only count one side of
the body and count only one finger and one toe.
Copyright © 2015 Richard Boatright, all rights reserved
CONNECTIVE TISSUE / FASCIA
• A growing body of evidence shows that nerves are not the only communication system in the body
• Nor is nerve communication the fastest or most efficient means
• Research is demonstrating that connective tissue – fascia specifically – communicates throughout the body almost instantaneously.
• The fascia has proprioceptive qualities, so it’s directionally sensitive.
• It has tissue memory.
• The tissue memory can be changed with external stimuli such as high velocity thrusts, but only require minimal amplitude.
Copyright © 2015 Richard Boatright, all rights reserved
THIS ANSWERS SOME PERPLEXING
QUESTIONS:
• Patellae, sesamoid bones, move around in all directions, but we can “adjust” them. How does that work?
• Shoulder blades simply slide around on top of the rib cage, but we can adjust them. Is that taking a bone from point A to point B?
• We can adjust the head of the humerus, but it’s one of the sloppiest joints in the body. Why does adjusting it make any difference?
• Chiropractors effectively adjust HORSES with Activators. Those bones are HUGE!
• Is it a matter of “putting a bone back in place?”
• Only indirectly!
• It’s more likely an ADJUSTMENT in the body’s proprioceptive communication system.
Copyright © 2015 Richard Boatright, all rights reserved
WHY DIFFERENT TECHNIQUES WORK
• This can explain why Gonstead and
Activator both get good results.
• It can explain why Rolfing and deep tissue
massage make such great changes.
• It can explain why myofascial release
techniques work so well.
• In every case, the end result of the
adjustment, massage or manipulation is a
change in the fascial communication
system, a PROPRIOCEPTIVE function of
the body.
• Speed and direction are the language of
this communication system.
Copyright © 2015 Richard Boatright, all rights reserved
EXTREMITY ADJUSTING
• High – speed thrusts with an
instrument are extremely accurate,
pre-measured, non-traumatic and
scientifically reproducible.
• Corrective thrusts are extremely
easy to learn and apply.
• Lines of drive are extremely easy to
achieve regardless of the doctor’s or
patient’s body position.
• Every conceivable subluxation can
be addressed at any joint that is
physically accessible.
Copyright © 2015 Richard Boatright, all rights reserved
MATHEMATICAL LOGIC
• An equation in physics states that, “Weight times acceleration equals work.”
• Chiropractic adjusting instruments, like the Activator and the Impulse, deliver a thrust from 100 to 600 times faster than the fastest hand-delivered adjustment ever measured.
• In this equation, with this increase in speed, you can reduce the amount of push you have to put into the thrust by 100 to 600 times but still come out with the same amount of work in pounds per square inch.
• Instrument adjusting is like a hammer impact compared to a push by hand.
Copyright © 2015 Richard Boatright, all rights reserved
THE FOUR MOST COMMON GOLF
INJURIES
• Low back
• Knee
• Elbow
• Wrist
Copyright © 2015 Richard Boatright, all rights reserved
PROTECTION IS ALWAYS
COMMUNICATED
• Quadratus lumborum muscles connect
the rib cage to the pelvis
• One is always stronger than the other
• When the body feels threatened, it
protects itself by tensing up, including
contracting the QLs.
• When the QLs contract, the stronger one
pulls the iliac crest up higher, rotating the
pelvis and causing a leg to appear
shorter.
• This phenomenon only happens in a
protection mode so you know what to
work on and what to leave alone.
Copyright © 2015 Richard Boatright, all rights reserved
LOW BACK
• Chiropractic adjusting of the low
back can relieve the vast majority
of low back pain related to golf.
As chiropractors, that’s what you
do best! So we won’t spend any
time on this one.
Copyright © 2015 Richard Boatright, all rights reserved
THE KNEE
• The only medical complaint more common than
knee pain is back pain.
• There are four bones in the knee: Femur, tibia,
fibula and the patella.
• One of the most common causes of femoral-tibial
subluxations in golfers is failing to keep the back
knee facing forward during the back swing.
• However, subluxations can be found in either knee.
• There are six common subluxations to be found at
the femoral-tibial joint: Medial anterior, medial
posterior, lateral anterior, lateral posterior, straight
lateral and straight medial.
Copyright © 2015 Richard Boatright, all rights reserved
THE KNEE• To identify a subluxation, introduce a directional
stress into the joint and test the leg lengths. A short leg indicates a positive. Adjust in the opposite direction. No change means leave it alone and proceed to the next test.
• Press forward at the tibial plateau just below the joint. A short leg indicates an anteriority.
• Press posteriorly on the lateral side and then posteriorly on the medial side.
• The directional pressure that causes the legs to even out is the corrective line of drive you need. The contact point should be at or near the ligaments that attach the bones at the joint, to maximize fascial communication.
• With an Activator, use a single thrust. With an Impulse use from 3 to 6.
• Retest to ensure you got the correction.
Copyright © 2015 Richard Boatright, all rights reserved
THE KNEE• The tibial plateau can also subluxate posteriorly
on either side.
• Pull posteriorly at the tibial plateau. A short leg
indicates an posteriority. Press anteriorly on the
lateral side and anteriorly on the medial side.
• The directional pressure that causes the legs to
even out is the corrective line of drive you need.
The contact point should be at the ligaments that
attach the bones at the joint.
• With an Activator, use a single thrust. With an
Impulse, use from 3 to 6.
• Retest to ensure you got the correction.
Copyright © 2015 Richard Boatright, all rights reserved
THE KNEE
• Relative to the femur, the tibial plateau can subluxate lateral or medial. Stabilize the femur with one palm and press either laterally or medially on the tibial head.
• A leg length reaction indicates a positive in the direction you’re pushing.
• Correct it thrusting in the opposite direction. The contact point is on the lateral or medial aspect of the tibial plateau just inferior to the joint itself.
• Don’t think that what you see here today are the only subluxations in the knee. Use your intuition and the principle behind leg checks to test your theories as they arise.
Copyright © 2015 Richard Boatright, all rights reserved
THE FIBULA AT THE KNEE
• The head of the fibula attaches at the lateral aspect
of the tibial head.
• The peroneal nerve passes in close proximity to it.
• Nerve irritation here results in pain (often severe) in
the lateral knee, the lateral lower leg and the lateral
ankle.
• It is most often MIS diagnosed as sciatica!
• It can subluxate anterior, posterior, superior, inferior
or laterally. I’ve never seen one medial; however, it
doesn’t mean it will never happen.
• Corrective thrusts are in a line of drive opposite to the
identified subluxation, into the connecting ligaments.
Copyright © 2015 Richard Boatright, all rights reserved
THE FIBULA AT THE KNEE
I’ve had a number of patients come in on crutches
with knee pain from fibular subluxations. After the
first adjustment, they leave the crutches at home.
It’s a powerful adjustment!
• It can be the underlying cause of anterior
compartment syndrome.
• With an inversion sprain at the ankle an inferior
fibula nearly always shows up too!
• Any time you find a subluxation at this joint, be
sure to check the opposite end of the fibula at
the malleolus. There are two ends to every
bone!
Copyright © 2015 Richard Boatright, all rights reserved
THE PATELLA
• The patella is actually a sesamoid bone, an accessory bone within a ligament to help the joint beneath it to function more efficiently.
• A knee that doesn’t want to bend, for instance can indicate a “inferior” patella.
• I don’t believe that means that the bone has misplaced in a inferior direction, but rather, that inferior forces are out of balance with the superior forces.
• The key is to restore the balance. Stroke superior, inferior, lateral and medial to identify subluxations. Correct with thrusts in the opposite direction from subluxation.
• Also check for an anterior patella.
Copyright © 2015 Richard Boatright, all rights reserved
LASER THERAPY
• If you have an Erchonia 5000, program it
for either pain and inflammation
(arthritis), trauma, scarring or ligament
stability. Apply the programmable head
to the knee and the pre programmed to
L3 for 180 seconds. Ideally, have the
patient move the knee during therapy.
• If you have another laser, program it for
inflammation and apply according to your
protocols while the joint is in motion.
• Laser therapy, when used with every
adjustment, measurably accelerates
healing and stabilizes the healing sooner.
Copyright © 2015 Richard Boatright, all rights reserved
FOOT LEVELERS
• One of the most helpful things you can do
to support knee problems, especially
medial knee pain, is to fit your patient for
Foot Levelers.
• Eversion rotates the knee placing excess
stress on the medial knee. It also
stresses the ankle, the hip, low back and
up the spine.
• Foot Levelers also offers an amazing
orthotic called “Parflex” that’s guaranteed
to give the golfer an extra 9 to 15 yards
off the tee.
• My patients have reported better play all
around the course too.
Copyright © 2015 Richard Boatright, all rights reserved
THE ELBOW
• The elbow consists of three bones, the
humerus, the radius and the ulna.
• The radial head can subluxate medial, lateral
superior and inferior. Don’t let anybody
convince you otherwise. Check them all.
Correct in the direction opposite of the
subluxation.
• The olecronon of the ulna can subluxate in
all of the above directions, plus posterior.
• The humerus can subluxate lateral, medial or
rotate internally or externally.
• If you ask them to put the point of their finger
on the exact spot where it hurts, it can
sometimes help you to narrow it down.
Copyright © 2015 Richard Boatright, all rights reserved
EPICHONDYITIS
• The two types of epichondylitis are:
• Lateral – Tennis elbow
• Medial – Golfers Elbow!
• Make sure your golfers know about
keeping the lead elbow straight
• Snapping it straight fifty to a ninety times
in a game can irritate and subluxate the
joint.
• Keeping it straight gives more distance
and accuracy.
Copyright © 2015 Richard Boatright, all rights reserved
SOFT TISSUE COMPONENTS
• The humerus can subluxate lateral, medial or rotate
interiorly or externally.
• There can be soft tissue components to epichondylitis
that, for all intents and purposes should be treated as
subluxations BECAUSE THEY ARE DIRECTION
SENSITIVE!
• Stroke anterior and posterior just superior to the
lateral epicondyle and the medial one to check for a
leg length change. Correct directionally in the soft
tissue in the direction opposite of what caused the leg
length change.
• Not into using an instrument? Do transverse massage
across the soft tissue structures.
Copyright © 2015 Richard Boatright, all rights reserved
LASER THERAPY
• If you have an Erchonia 5000, program it
for either pain and inflammation
(arthritis), trauma, ligament stability or
muscle spasm. Apply the programmable
head to the joint or the affected
epicondyle and the pre programmed to
C6 for 180 seconds. Ideally, have the
patient move the elbow during therapy.
• If you have another laser, program it for
inflammation and apply according to your
protocols while the joint is in motion.
• Laser therapy, when used with every
adjustment, measurably accelerates
healing and stabilizes the healing sooner.
Copyright © 2015 Richard Boatright, all rights reserved
THE WRIST
• Low backs, knees and elbows are more
common to amateur golfers and high
handicappers.
• Wrist injuries in golfers is more common
in low handicappers and pros.
• This is due to hitting out of sand and
deep rough.
• Carpal tunnel syndrome is only one of
many kinds of wrist pain.
• We’ll look at several wrist and hand
problems.
Copyright © 2015 Richard Boatright, all rights reserved
GRIP STRENGTH AND BALL CONTROL
• A strong grip counteracts a slice
• A weak grip counteracts a hook.
• With a strong grip the lead hand is placed
more toward the upper side of the club
shaft.
• With a weak grip the hand is rotated
toward the side of the club shaft.
• A closed stance helps counteract a slice
• An open stance tends to counteract a
hook.
• Is this a strong grip or a weak one?
Copyright © 2015 Richard Boatright, all rights reserved
CARPAL TUNNEL
• (a strong grip)
• The carpal tunnel is composed of the
eight wrist bones (carpals) and the
retinaculum. Change their alignment
shape and they compromise the size of
the tunnel.
• The ulnar tunnel is more sensitive to the
position of the pisiform bone on the hand.
• The first thing to identify in wrist problems
is the distribution of the complaint. Is it
medial nerve? Ulnar nerve? The entire
hand? Is it the distal forearm, the wrist or
the hand?
Median Nerve
Carpal Tunnel
Ulnar nerve
Ulnar Tunnel
Copyright © 2015 Richard Boatright, all rights reserved
DIFFERENTIATING
• Have the patient make a fist and check the leg lengths. A change indicates a lateral distal radius. Correct medially.
• Press the ulna posteriorly and check leg lengths. A positive indicates a posterior distal ulna. Correct palmar.
• Have the patient bend the hand at the wrist, palmar. A positive indicates a posterior distal row of carpal bones. Correct all 4 palmar.
• Have the patient bend the hand at the wrist dorsally. A positive shows an anterior proximal row of carpals. Correct posteriorly.
• Have the patient touch the little finger to the thumb and squeeze. A positive indicates an anterior lunate – a BINGO for a true carpal tunnel syndrome.
Copyright © 2015 Richard Boatright, all rights reserved
“THUMB” COMPLAINTS
• Complaints about the thumb must always
be narrowed down as well. Most are at
the base of the thumb.
• You can palpate or do leg checks for all
of the joints of the thumb itself and adjust
accordingly.
• Also check for a posterior trapezoid by
pressing it dorsally through the palm and
checking the leg length. The line of drive
for correction is anterior and slightly
medial.
• This is a great one for when they say,
“I’ve got arthritis in my thumb right here.”
Copyright © 2015 Richard Boatright, all rights reserved
LASER THERAPY
• If you have an Erchonia 5000, program it for either nerve entrapment syndromes, pain and inflammation (arthritis), trauma or ligament stability. Apply the programmable head to the joint or the affected area of the wrist and the pre programmed to C6 and the brachial plexus for 180 seconds. Ideally, have the patient move the wrist during therapy.
• If you have another laser, program it for inflammation and apply according to your protocols while the joint is in motion.
• Laser therapy, when used with every adjustment, measurably accelerates healing and stabilizes the healing sooner.
Copyright © 2015 Richard Boatright, all rights reserved
THE SHOULDER
• The majority of shoulder injuries in
golfers result from using the arms too
much in the swing rather using the entire
body.
• The golfer should actually rotate around
the spine rather than excessively
swinging the arms.
• Since the shoulder joint is such a sloppy
joint, it can result in a myriad of
subluxations that can be difficult for many
chiropractors and orthopedic doctors to
identify correctly.
• Correct identification is crucial to the
proper correction.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: GLENO-HUMERAL
• Comprised of the ball of the humerus and the
glenoid fossa of the scapula. Even though it’s
considered a “ball and socket” joint, its more of
just a round thing in a hollow spot.
• The humerus can subluxate anterior, posterior,
superior or inferior and it can rotate internally or
externally.
• Isolating the exact subluxation is vital in order to
make a true correction.
• When you’ve identified the line of subluxation, the
line of correction will be in the opposite direction.
• The contact point should be as close to the joint
space as possible to facilitate fascial
communication.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: CORACOID PROCESS
• Often associated with accompanying TOS,
hand parasthesias, carpal tunnel symptoms
with or without carpal subluxations. Symptoms
will be medial to the GH joint. Often the
scapula will be lifted in the back.
• The coracoid process tends to rotate inferiorly
and anteriorly, but check it. Our bodies don’t
read the books.
• Contact the tip of the coracoid process and
correct in a line of drive opposite to the
direction identified as the subluxation.
• Then look for other scapular subluxations and
rotator cuff components.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: THE AC JOINT
• Where the acromion process and the clavicle
articulate. “The point of my shoulder.”
• Have patients press the hand into their side
and check the leg length. A positive indicates
a separated shoulder.
• Adjust medially on the acromion process and
laterally on the clavicle.
• The clavicle can also subluxate superior, or
anterior.
• Theoretically, it can also go inferior or
posterior, but I’ve never seen these.
• Correct opposite the direction of subluxation.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: THE SCAPULA
• With the patient prone the doctor can stroke
superior, inferior lateral or medial on the
scapula and look for a leg length change.
Correct in the direction opposite the
subluxation.
• Contact point for a medial scapula would be
three points on the medial border.
• Contact points for a lateral scapula are three
points on the lateral border.
• For a superior scapula contact three points on
the superior aspect of the scapular spine.
• For an inferior scapula contact three points on
the inferior aspect of the scapular spine.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: THE BICEPS TENDON
• The biceps tendon must “ride” in the biceps
groove at the head of the humerus.
• Symptoms are on the front of the shoulder
inferior to the GH joint, sometimes down into
the biceps area itself.
• The biceps tendon can “subluxate” laterally
or medially.
• Correct at three points on the tendon itself
and thrust in a line of drive opposite the
subluxation.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDERS: THE ROTATOR CUFF
• The supraspinatus Lateral
• Infraspinatus Inferior
• Teres minor Medial/Superior
• Subscapularis Unreachable
• Check for a rotator cuff by abducting the hand, thumb down. Look for a leg length change.
• Standing, look for pain with abduction or with slight downward pressure against resistance.
• Laser with muscle and/or tendon protocols and support the associated cervicals.
Copyright © 2015 Richard Boatright, all rights reserved
SHOULDER: OTHER
• “Shoulder” can mean a great many things that aren’t really the shoulder joint at all. Be sure to narrow it down.
• First, second or third rib, front or back.
• Superior manubrium can affect all three upper ribs.
• Shoulder complex – scalene muscles, anterior first rib body, levator scapulae, and the splenius capitus.
Copyright © 2015 Richard Boatright, all rights reserved
LASER
• Use a laser to accelerate resolution. With an
Erchonia, set it on inflammation and pain,
ligaments, scarring, nerve entrapment
syndromes or trauma settings.
• Set the pre-programmed head on the cervical
spine and the programmable one on the
area(s) of complaint for 180 seconds.
• Get the best results when motion accompanies
the laser treatment.
• If you have a different laser, be sure you are
isolating the exact spot, with the appropriate
setting depending on whether it’s traumatic or
chronic, ligamentous, articular or muscular and
treat with accompanying motion.
Copyright © 2015 Richard Boatright, all rights reserved
HIPS • So you’ll know what joint(s) to
check, say, “Show me where!”
• Some point to the SI
• Some point to the Iliac crest
• Some point to the greater
trochanter
• Some point to the groin.
• Some will even point to their
bottom.
Copyright © 2015 Richard Boatright, all rights reserved
HIPS
• As chiropractors, you’re great
at adjusting SI’s and the pelvic
girdle.
• What we want to go over here
today is the acetabular
articulation and the greater
trochanter.
• I’ll also give you a neat little
tip about the cluneal nerve.
Copyright © 2015 Richard Boatright, all rights reserved
HIPS
• The trochanter can rotate
internally or externally.
• It can also subluxate superior or
inferior which are less common.
• These are probably the most
common cause of trochanteric
bursitis.
• Correct in the direction opposite of
the subluxation.Support the correction with laser on the
trochanter and the lumbo-thoracic area
of the spine.
Copyright © 2015 Richard Boatright, all rights reserved
HIPS
• At the acetabular joint the ball of the femur most commonly subluxates anteriorly or posteriorly.
• Pressure test to identify the subluxation.
• This is the major cause of groin pain!
• It can also cause deep buttock pain in the mid-buttock area.
Copyright © 2015 Richard Boatright, all rights reserved
HIPS
• Commit this picture to memory!
• Find the acetabular joint in front at the groin, just medial to the superior aspect of the greater trochanter.
• Find it in the back at mid-buttock medial to the superior aspect of the greater trochanter.
• Correct in the direction opposite the subluxation.
Support the adjustment with laser therapy
on an inflammation or ligament setting and
on the lumbar region of the spine.
Copyright © 2015 Richard Boatright, all rights reserved
THE CLUNEAL NERVE
• The cluneal nerve must travel through an
osseofibrous tunnel at the iliac crest.
• It often binds in that tunnel causing
buttock pin in the upper to mid buttock.
• DO NOT CONFUSE THIS WITH SCIATIC
PAIN!!!
• Sciatic pain is in the LOWER buttock more
medial.
• Check for directional components by
stroking laterally and medially across the
nerve.
• Correct with an instrument at three or
more points along the nerve.
Copyright © 2015 Richard Boatright, all rights reserved
THE CLUNEAL NERVE
• You can also do deep tissue transverse
massage at several points along the nerve.
• When upper buttock pain is accompanied
by lateral lower leg pain to the ankle, also
check for a fibular subluxation at the knee.
• This combination of symptoms is almost
always MIS diagnosed as sciatica!
• With a laser, treat for nerve entrapment
syndromes, and along the lumbar spine.
Transverse massage simultaneously.
• I cannot overemphasize the importance of
knowing about this and using it daily in
your practice!
Copyright © 2015 Richard Boatright, all rights reserved
LASER EQUIPMENT
• The literature on low level laser therapy is accumulating every day, showing its incredible benefits for healing.
• I believe the best two on the market are the Teraquant, a single dot laser with magnets and infra red. It seeks an exact spot then treats the spot. It can be programmed for several different benefits.
• The one I like best is the Erchonia 5000. It uses laser lines rather than dots so it covers a tremendous area by comparison and 20 minutes of therapy can be accomplished in about 3.
• It can be programmed for up to 100,000 different benefits.
• If you don’t have one already, be sure to investigate laser therapy for your practice.
Copyright © 2015 Richard Boatright, all rights reserved
THE FOOT AND ANKLE
• The foot and ankle are like the foundation of a building. If it’s off, the entire building (skeleton) will suffer.
• Because there are so many bones in the foot and ankle be sure to isolate the problem by having them put the point of a finger on the exact spot that hurts.
• Eversion sprains can create ankle pain for instance, but it’s very different than anterior talus subluxations.
• Lets go over the most common subluxations in the foot and ankle, realizing that every bone can subluxation in a variety of directions.
Copyright © 2015 Richard Boatright, all rights reserved
THE FOOT AND ANKLE
• Check for a calcaneus subluxation. It can rotate medially or laterally, or the posterior aspect can drop or go superior. It can also subluxate anterior or posterior.
• Leg length tests can identify the subluxation. Correct opposite the direction of subluxation.
• After eversion sprains always check for subluxations in the fibula at both the ankle and the knee and correct appropriately. Most common with eversions is inferior fibulae due to the direction of injury.
• With inversion sprains look for subluxations in the opposite direction.
Copyright © 2015 Richard Boatright, all rights reserved
THE FOOT AND ANKLE
• Pain in the superior part of the foot at the
ankle you might find an anterior talus.
Plantar flex the foot at the ankle and check
leg lengths. Correct posterior when you find
a positive.
• The navicular can be subluxated when
there’s pain on the top of the foot. Squeeze
and pull superior to identify. Correct inferior.
• Subluxations at the head of the fifth
metatarsal can be very painful. Check
superior and inferior and correct in the
direction opposite to subluxation.
• These corrections will give you lots of tools
in your bag, however …
Copyright © 2015 Richard Boatright, all rights reserved
THE FOOT AND ANKLE
• What will help you give more relief than any other adjustment is a dropped cuboid.
• Just posterior to the head of the fifth metatarsal, it serves like a keystone to the arch.
• When it drops the arch drops and causes bunions over time,
• Plantar fasciitis in the short run
• And heel spurs in the meantime.
• Heel spurs DO NOT cause the pain!
• What’s causing the heel spurs also causes the pain. The pain can be eliminated long before the heel spur is reabsorbed.
Copyright © 2015 Richard Boatright, all rights reserved
PLANTAR FASCIITIS
• For plantar fasciitis, correct the cuboid, look for a dropped 1st met – cuneiform, a superior calcaneus and tape the foot to externally support the spring ligament between adjustments.
• Place a piece of anchor tape on the ball of the foot.
• Tape from the anchor, back the foot & up the back of the heel.
• Tape from the lateral ball of the foot, around the heel to the medial ball.
• Reverse.
• Anchor the tape job.
Copyright © 2015 Richard Boatright, all rights reserved
Wear for 2 to 3 days, remove for two
days and repeat
CONTINUOUS SUPPORT
• Of course, the best approach, in addition to
temporary taping, is continuous precision
support 24/7/365.
• You can do that with Foot Levelers. They’re
precision-made, individualized support made
for the individual from either a computerized
measurement or from casted imprints.
• Adjustments hold better and longer, both in
the lower extremity, from the foot to
acetabulum, to the spinal column itself.
• If you’re not set up for Foot Levelers yet, do
yourself and your patients a favor and get that
started today.
Copyright © 2015 Richard Boatright, all rights reserved
ADJUSTING EQUIPMENT
• The most precise extremity adjusting you
can do is with an adjusting instrument.
• Activators are less expensive and more
mobile since they’re cordless. I personally
prefer the Activator V over all the other
Activators.
• The Impulse instrument has been shown in
studies to also be effective at delivering an
adjustment at six pulses per second. The
best Impulse instrument is the IQ.
• Activators are available from Activator
Methods at www.activator.com.
• Impulse Instruments are available at
www.goimpulse.com.
Copyright © 2015 Richard Boatright, all rights reserved
THANK YOU FOR WATCHING!
• Although this presentation was designed for chiropractors regarding extremities for
golfers, it applies to extremities for anyone.
• Look for Dr. Boatright’s books on Amazon.com
• Dr. Boatright is also a health copywriter. Check out his writing website at
www.readem.net
• To find out more about Dr. Boatright’s practices in Phoenix or Show Low, AZ, go to
www.drrickboatright.com. Or www.desertrosechiropractic.weebly.com.
• To see more of Dr. Boatright’s informational literature go to:
www.clunealnerve.weebly.con
www.ralbypublishing.weebly.com
www.easychairworkout.weebly.com
Copyright © 2015 Richard Boatright, all rights reserved
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