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@smg4102 as with all things, Hoka has changed over the years and now makes lots of different styles of shoes. Originally they had like two styles with a lot of pronation control and lot of cushion. Unfortunately, sometimes the cushion allows too much side to side motion, which can then irritate the posterior tib tendon. Not sure if one can go back and put a little subtitle or a little blurb on an old video to say "well maybe not so so much anymore"! 😂

Hello yes you want to envision smashing the scar like it would be smashing a pea. So that you break down the height of the scar tissue.

@@Biomechanicphysicaltherapy my scar seems flat except after I shower it’s more dark than hard and raised. Any tips there.

@@allthingsreview777 Hello. That is because it has lots of vascularization. There is a pulsed dye laser that would make that scar look great. It would be cosmetic of course. I have not got a PT remedy for the vascularization.

@@Biomechanicphysicaltherapy thank you for all the replies!could this maybe fade on its own?

Hello sounds like SI joint sacrum probably a little twisted and the pain across the top of the hip is muscular pain from some muscles being overworked due to the strain of the hip bones being slightly out of line. I would definitely find a practitioner who does muscle energy technique And get that sorted out you will be very happy. If it's been going on long time, it will take a bit of maintenance and you may find yourself and PT kind of regularly to keep yourself but PT takes less than an hour, most people think it's worth it to keep things in line. Plus, remember the long-term consequences of potentially deteriorating a joint and then having arthritic pain later so I think it's worth it.

@@Biomechanicphysicaltherapy Thank you so much, best regards, Richard,

Hey, I know. I have answered your question in full on your other comment.

@peekaboots01 yes podiatrists know what to do with this problem but podiatrist have different surgical allowances in different states. So it depends on where you live whether a podiatrist is allowed to operate it on on it. You could also seek out an MD who is a foot and ankle specialist and they will be able to correct it for you. It sounds like yours is severe enough based on your description that you would be a surgical candidate. Although it would hurt for a little while you would be much happier when it was all over and no more bright red ball on your toe. Orthotics can help a little bit right now but since it sounds like it's very severe. I'm not sure how much. The orthotic must have a forefoot post and a first Ray cut out with fill in and you can tell your practitioner that. Orthotics will help with recovery afterwards and will give you many years on your new toe. If you don't wear orthotics after the surgery, you risk it gradually returning because the reason for the bunion is your foot mechanics. The orthotic fixes the reason why you developed the bunion in the first place, but it would take five or 10 years for it to begin to reform.

Thanks!

Hi! Well at eight weeks, your bones have only just fully healed so now would be the big progression of activity. So definitely I would not have expected to run by now. I would expect you to be able to run in months. The first goal is to be able to walk comfortably. One of the most important things after surgery to be able to walk is wearing shoes that will protect your foot. It sounds like physical therapy could definitely help because we can speed the healing. Take down the inflammation. Decrease the pain and give you pointers on where you should be and what you should be doing. If you need help and you are far away, you can schedule a video consultation or maybe call around to your local physical therapists and see if anybody has treated people after bunion surgery. Don't lose hope I know it's frustrating and I know it's slow, but you will get there!

Hi, it's an indication of inefficient transduction of sound waves and it is called cavitation. Cavitation is what makes the little air bubbles. If your patients are still feeling results, I'm sure it's fine. If not, I would have your equipment inspected.

Glad it helped! LMK if you need anything.

Hello, iontophoresis will definitely help with swelling but not with bone healing. The thing that will help with both swelling and bone healing is the MLS class IV Laser. Any cold laser will help but the original ones were class three and the class for as much more power. You can search for one near you on the Internet. I know the company that we bought one from has a search tool like that in the name of that company is cutting edge.

Is Iontophoresis safe while bone is still healing? I have 4 more weeks to 12 weeks was going to wait until then but I would really like to continue treatment if I can for hyperhydrosis on my feet. Thanks

Hello yes the iontophoresis for the hyperhidrosis is safe while you are healing. The only thing you wouldn't want to do is use the dexamethasone sodium phosphate because dex can impede healing.

What is dex? I’m not using or putting anything in the water.

Hello, 12 weeks is very recent... it is okay for you to do controlled exercises and yes these are fine for you. My advice is, respect your pain, don't push it too hard, ice it when you do. If you do too much and keep yourself in pain all the time you might end up in a chronic pain situation. But it is not chronic pain now and is not a harbinger of chronic pain. It is early days yet, be nice to it for 6 - 9 months more.

@@Biomechanicphysicaltherapy thank you very much for the response. It’s very encouraging and I appreciate that.

Gracias por ver!

Glad you like it!

Hello @leevize6045 I am sorry to hear that. It is possible that the nerves will heal. There is a laser on the market, MLS Laser by Cutting Edge Technologies that is the only proven thing to heal nerves. It is also possible that you have a little bit of innervation left in which case physical therapists can help stimulate those muscles to be able to lift the toe again. Good luck to you.

You could have more than one thing going on. But the other thing I’ve discovered. When the inflammation or problem has gone on for a long time, the whole darn thing hurts. So as soon as you get under treatment and start getting the pain and the inflammation handled, the pain will start to get more specific from where it actually started as. Maybe you can remember which pain it was when it first started? Or you could try to find a good Physical Therapist with an MLS cutting edge Laser to decrease your inflammation and help focalize it.

Here you go…www.dolphinmps.com/dolphin-vns-for-covid-19/

Yes, if your toe is fused, you can no longer move it either direction

Hello, it would be best if you do this twice a day. You might want to start with a professional PT to see how hard you are supposed to push. Best to do most stretching in first 6 months so get started right away!

Glad it was helpful!

Hello physical therapy is helpful to regain your range of motion to speed your healing, and to decrease your amount of pain and to ease the process of getting back to what you like to do. Not everyone does physical therapy though.

@Biomechanicphysicaltherapy OK. Thank you very much and have a great day

You're welcome!

FAI starts at four minutes and 16 seconds.

The i-walk is intended to remove the weight-bearing only on your foot or ankle or lower leg. You weight bear through the knee with the iwalk.

How soon could you walk on that foot. Their website says. one week. Thank you for any information

@@rosebudelfjohnson4637 I started walking like 2 weeks out, but that was with crutches and I was doing 10% on my surgery foot, then I would increase with weight via my Drs. orders. I currently still have foot problems so it's def a 50%50 shot I'd say.

​@rosebudelfjohnson4637 I was weight bearing at week 2, but I was only allowed to put 10% of the weight of the surgery foot. I then increased the weight via my doctor. But for the love of God, do physical therapy idc what they tell you you NEED physical therapy especially with a foot surgery, I had to figure this out the hard way and now I'm 8 months and still have foot pain. Good luck and wishing a quick recovery for you!!

​​@@rosebudelfjohnson4637While weight bearing I was on crutches! So when walking I'd do a quick light pressure on my surgery foot and quickly go back to my good foot

Hello @jimbrow83 sometimes the orthotics are not aggressive enough, so maybe you can look at getting a device with an arch which is as high as your arch when you are not weight bearing on it and combine that with a lace up combat boot instead of using an AFO.

@@Biomechanicphysicaltherapy can you recommend a device?

@@jimbrow83 Hi so it would have to be custom. I would find someone - a PT or a Pedorthist - and explain and show them what you have been wearing so they can not create the same device.

I hear you. I don’t tolerate shoes that press on the top of my foot

Hello @treehuggerr0105, my video does not mention supplements at all.. Perhaps you are thinking of an ad that might have played? The ads that play may give misinformation but I have no control of what ads CZcams plays.

@@Biomechanicphysicaltherapy (He's just referring to your comment on weight lifters taking them to bulk up at 1:10. Not that you were suggesting supplements.) I enjoyed your video, and found it helpful! Thanks!

Hello, YES! You can reverse this. If you wear an aggressive custom orthotic it can allow the tendon to heal. You may need a period of immobilization. If you do, your doctor may have recommended wearing a walker boot. Do put your custom orthotic in your walker boot as it is very flat inside. Some docs disagree with me, but I stand very strong in my belief!

Hello yes it probably is those remaining rough surfaces but they are also still healing. Please wait 6 weeks before you try much. The bones need to knit & wiggling the ends of the cut bone / motion slows down the knitting of the bones. Your surgeon may also have smoothed the joint surfaces, so they may be more smooth after healing. If you want to move faster, I would look for an MLS laser near you. Company is “cutting edge”. It can cut the healing time down by 45%.

Thank you so much for your help!@@Biomechanicphysicaltherapy

Hello, you might want to try a different physical therapist as all the physical therapists have different techniques. Different techniques work for different people. If you have already tried several different therapists without results it’s possible that you are a surgical candidate.

Oh that sounds like a trial. I’m afraid I have zero experience in this. Sending healing vibes your way.

Glad it helped!

Glad it helped!

That depends on how extensive your surgery is and how physically capable you are yourself. If you are non weight-bearing, then you may not be able to put weight on that foot. If your bunion was very severe, then that would be the case. If it was not very severe, and they’re only clipping off a small piece of bone. Then you will be able to weight bear on your heel. It depends on how fit you are, how prepared you are to walk with crutches with only 1 foot on the floor. Peoples level of fitness varies wildly. So if you’re bunion is very severe and you are going to have hardware afterwards and you are not good with crutches then I would think you should have some help.

Thanks @patriciaschenk2829 , it’s good to see you again, and always glad I can help! 💛

Yes, It can tear up your skin, especially if you have fragile skin or tap frequently. Pro tip; fold the tape back on itself & follow with your other hand rather than pulling the tape away at a 90 degree angle.

As soon as your bones are well healed, you can start the exercises. Usually that is 4 to 6 weeks but you may have also seen your doctor to get a follow up x-ray. If your follow up x-ray says you’re well healed then you’re ready.!

Glad it was helpful!