Facet Joint Surgery and Still Cannot Has Symptoms

I need help with a client (born 1929, slim and always been active, today in not bad shape
in spite of his probems) who had a cyst removed from the facet joint to the right side on
L3-4 segment.

He was operated in november 2006, due to gait problems, back pain and decreased
power in his legs/feet. CT showed nothing, borrelia test negative, MR showed a cyst at L3-
4, and secondary spinal stenosis at L3-4 and L4-5. Operation included decompressive partial facet ectomy at L4-5 bilateral and at L3-4. And the cyst removed successfully. Blood tests showes no deviations, (Red blodcells 146, good kidney and sugar values)

Today almost 1.5 years after he still can’t walk properly, has atrophied tib. anterior on
both sides with no strenght at all i those muscles (=cannot dorsal flex his feet). Orthopedic examination showed that he has intact nerv signals to the feet and therefore
case closed!

TVA 60% .Measurement of his Lumbal section shows that he has a total of 10 degrees
(S/LX 0 + LX/TX 10) which we try to correct with foam roller, of course carefully due to his
spinal stenosis. I also make him do a lot of squats with support, H.S dynamic, a lot of cross patterns,
standing, sitting and lying down. SLBR and LA1 now progressed to LA2 and daily he tries to
dorsal flex his feet whenever possible. He also drinks lots of water with sea salt since our first session 5 weeks ago and double  dosage of omega 3.  Fysios have done TNS (electrical stimulation) with no effect. Anyone has any idea??!! PLEASE!

The tib ant is inn by the L4 nerve root (deep peroneal nerve) and gets some inn from L5 as well. It sounds to me that the stenosis may be foramenal, but also can be nerve canal stenosis. As well, have you assessed for any disc derrangements? If not, this is where I would start. AS well, I would reassess him using all your assessments, as well as dermotomal and myotomal testing. Is he shifted, any radicular pain, when is his pain worse, etc?

 

As well, there might be scar tissue from the surgery (which is likely) that is impinging on the L4-L5 segment.

Joshua Rubin

www.eastwesthealing.com

 

H Pylori Symptoms that Will Not Quit

Some things I would look into, as well as ask yourself:

1. Did the client go off all probiotics at least 2-4 wks before taking the stool test? If not, I typically see labs come back with nothing on them. I request clients go off probiotics for at least 2-4 wks, depending how long they have been on them.

 

2. If she does not have a fungal infection, did she before? If not, why all the herbs, cleanses and protocols?

 

3. I am sure you know, but the 4R program is more than just food elimination. AS well, typically a client needs 90 days of food elimination and erradication of other pathogens, etc before I move them to the second phase (replace) of the 4R program.

 

4. When you see things further away from the center of the body, typically they are more systemic. My intuition tells me that she most likely had and still has a fungal infection. I would continue on the fungal diet for at least 6 months.

 

5. I would do a retest just for HP and fungus.

 

6. I have found that clients with these issues a lot of the time have heavy metal toxicity as well from their job, hygeine products, fillings and so forth.

 

7. Make sure if she does have HP that she stays away from raw eggs, raw chicken and sexual fluids (until loved ones are tested).

 

With the info that you gave us, this is what I can recommend. Sometimes having another NLC practitioner assess her paperwork helps get some insight into what is going on. Everyone has the same forms, but some use different techniques and philosophies to dive deeper into behind the curtain.

Joshua Rubin

www.eastwesthealing.com

Our Goverment in Action!

Accodring to DFH in a recent newsleter:

As the number of immunizations administered to infants, pregnant women, children, teenagers and adults has grown over recent years, the incidence of chronic, unexplained diseases such as autism, learning disabilities, and other neurological disorders appears to have increased dramatically as well. Individual vaccines are tested for safety, but little safety testing has been conducted for interaction of effects of multiple vaccines. The strategy of aggressive, early childhood vaccination has never been tested in its entirety against alternative strategies, either for safety or for total health outcomes.

As a response to this controversy, a new bill, H.R. 2832, is being introduced in congress to study Vaccinated vs. Unvaccinated Populations. This study will compare total health outcomes, including autism, in vaccinated populations in the United States with such outcomes in unvaccinated populations in the United States; and to determine whether vaccines or vaccine components play a role in the development of autism spectrum or other neurological conditions.

The proposed legislation provides for objectivity, transparency and conflict-free investigation by competent researchers.

Don’t miss Dr. Sherri Tenpenny, vaccine expert, coming up May 14th on Clinical Rounds. We can’t wait to hear about her new book: Exceptions to the Rules: How to Exercise Your Right to Refuse Vaccines.

Butter vs Margarine

Margarine  was originally manufactured to fatten  turkeys.  When it killed
the turkeys, the people who had put  all the money into the research      
wanted a payback so they put their  heads together to figure out what to  
do with this product to get  their money back.  It was a white substance  
with no food appeal  so they added the yellow coloring and sold it to     
people to use in place of butter.  How do you like it?   They have come   
out  with some clever new flavorings.                                     
                                                                           
DO  YOU KNOW.. the   difference between margarine and butter?             
                                                                           
Read on to the end…gets very interesting!                               
                                                                           
Both  have the same amount of calories..                                  
                                                                           
Butter  is slightly higher in saturated fats at  8  grams   compared   to 
5 grams.                                                                  
                                                                           
Eating margarine can  increase   heart disease in women by  53%   over    
eating the same amount of butter, according to a recent  Harvard   Medical
Study.                                                                    
                                                                           
Eating butter increases the absorption of many  other nutrients in   other
foods.                                                                    
                                                                           
Butter  has many nutritional benefits where  margarine has a  few     only
because  they are added!                                                  
                                                                           
Butter  tastes much better  than margarine and it can enhance the flavors 
of other foods.                                                           
                                                                           
Butter  has been around for  centuries where  margarine has been around   
for less than 100 years.                                                  
                                                                           
And  now, for Margarine..                                                 
                                                                           
Very  high in trans fatty acids.                                          
                                                                           
Triple  risk of coronary heart disease.                                   
Increases  total cholesterol and  LDL  (this is the bad cholesterol) and  
lowers HDL cholesterol, (the good cholesterol)                            
                                                                           
Increases  the risk of cancers up to five fold.                           
                                                                           
Lowers  quality of breast milk.                                           
                                                                           
Decreases immune response.                                                
                                                                           
Decreases insulin response.                                               
                                                                           
And  here’s the most disturbing fact…. HERE IS THE PART THAT   IS  VERY 
INTERESTING!                                                              
                                                                           
Margarine  is but ONE MOLECULE away   from being PLASTIC..                
                                                                           
This  fact alone was enough to have me avoiding margarine for life  and   
anything else that is hydrogenated (this means hydrogen is  added,        
changing the molecular structure of the   substance).                     
                                                                           
You  can try this yourself:                                               
                                                                           
Purchase  a tub of margarine and leave it in your garage or shaded  area. 
Within a couple of days you will note a couple of   things:               
                                                                           
*  no flies, not even those pesky fruit flies will go near it  (that      
should tell you something)                                                
                                                                           
*  it does not rot or smell differently because it has  no nutritional    
value; nothing will grow on it. Even those teeny weeny  microorganisms    
will not a find a home to grow.  Why?   Because it is nearly plastic.     
Would you melt your Tupperware and  spread that  on your toast?           
Share  This With Your Friends…..(If you want to ‘butter them   up’)!    
                                                                           
Chinese Proverb:  ‘When someone shares  something of value with you and   
you benefit from it,  you have a moral obligation to share it with        
others.                                                                    

Joshua Rubin

www.eastwesthealing.com

 

Overactive Erector Spinae

I have a client whose ESGs are very (perhaps overly) developed and tend to become hypertonic whenever an exercise is performed where the ESGs are only synergists, at best. She has a high level of functional fitness, good reaction time and neuro-muscular activation in complex exercises; she has achieved great improvements in overall posture since we began our work together, as she then presented with a “lower crossed”(Chek)/”condition 1″(Egoscue) posture. We just can’t seem to get those ESGs to calm down! I think she’d have even more hip extension/glute power, although these are not bad as it is. The main issue is that the ESGs do fatigue and give her pain, and become inflamed (according to her, they “grow”) no matter what the exercise or regression. Thanks.

 

ANSWER:

 

This is a common dysfunction that was quite common years ago, but over time from people sitting more and moving less, we typically see the opposite. Over the years, clients that I see that have this distortion are athletes, pregnant women, men or women with visceral inflammation, as well as most that have a dysfunctional inner unit.

 

I want to first clarify something before I provide you with any further information. A lower cross syndrome is taught in the CHEK certification, but it is not a CHEK term. It is actually a term that was coined by Vladimir Janda out of Prague.

 

My first question to you, as well as any practitioner that is questioning “why” their client is not progressing is, have you fully assessed your client? Have you done a ROM, length tension comparison, static and dynamic posture assessment, SIJ assessment and so forth? If you are just going by looks, well as “they”say, “you can’t judge a book by its cover!” To simplify it, when assessing your client, any muscle that shows up as short, you put into their stretching program. As well, any muscle that shows up as lengthened, you put into their exercise program. This is a simplified approach, as there are instances when a lengthened/taught muscle needs to be strengthened and a short muscle does not need to be stretched. Sometimes when there is an instability, the body over recruits’ muscles in order to create more stability. So in the end, if you stretch it, you could make things worse. This is common in people that have lots of visceral inflammation, which inhibits the inner unit, pulls the lumbar spine in extension, anteriorly rotates the pelvis, and creates a lower cross syndrome.

 

Most of the time when someone has a lower cross syndrome, the typical muscles that are short and long are:

Short: psoas, RF, adductors, TFL, sartorious, multifidus, ES, lats, QLO

Long: glutes, hams, lower ab, EO, IO, TVA

Common Injuries: LBP, SIJ, knees and ankles, hamstring, degeneration

Some of the major things that contribute to this are:

1.    Improper exercise program development

2.    Pattern overload

3.    Repetitive movement patterns

4.    Poor ergonomics

5.    Visceral inflammation

6.    Lumbar spine instability

7.    Deep longitudinal subsystem dysfunction

8.    Improper stretching of the already lengthened muscles

Some of the things you need to look into are:

1.    Fully assessing your client so you know what is short, long, what their skill level is, how they recruit under load and while moving. This will allow you to develop and individualized program, as well as providing you with the necessary tools in order to teach them how to create inner unit to outer unit synergy with movement.

2.    All their foundational nutrition and lifestyle principles: thoughts, hydration, moving, sleeping, and eating (quality and quantity). Any dysfunction or inflammation in any of their organs, will shut down the inner unit (secondary to Hilton’s Law), thus creating lower cross syndrome.

3.    Most women that have this distortion have inflammation in not only their viscera, but also their female organs. This will shut off their inner unit, creating a lower cross. My recommendation is to find a Functional Medicine practitioner, naturopath, etc that does saliva testing. This will allow you to refer her out for adrenal and hormonal testing.

4.    Instability in the SIJ from a faulty deep longitudinal subsystem will create lengthened or taught biceps femoris, instability in the SIJ, excessive extension in the lumbar spine, increased shearing, compression and torsion = pain!

5.    Does she have children? Did she have a cesarean section? If not and it was vaginal, did she have an episiotomy? If so, this creates what is called Heart Bottom Syndrome. Thus, the inner unit (mostly pelvic floor) gets shut off, thus inhibiting the glute max and causes over recruitment of the glute medius to stabilize the SIJ and low back (by a process called irradation). So if the scar does not get worked out by soft tissue work and you restore visceroptosis, eliminating her lower cross will not happen.

6.    According to Vladimir Janda, the most common muscle that facilitates a lower cross syndrome is the psoas. This can become short from sitting too much, over recruiting it from improper exercise technique, but also from inflammation in the organs, visceroptosis, leaky gut syndrome and according to Healing Touch and Chinese Medicine, issues with the stomach.

The glutes are a phasic or fast twitch muscle that can only be recruited by explosive movements. Your goal initially is to assess her, clean up her nutrition and lifestyle principles, get some soft tissue work if needed and work her through the stability-strength and power paradigm. Initially correcting her posture by recruiting more slow twitch fibers, then working through the paradigm in order to get her glutes to contract (sumo squats, box step ups with kick, sprints, etc).

Good luck!

Joshua Rubin

www.eastwesthealing.com