no okay i will start up linda thank you
so much for joining us my voice so that
usually sound like this I know you're a
patient of dr. Duane see I've heard my
voice before but for me to have a really
good voice oh I'm just thank you so your
knee is hurt for a long time you wanted
to get the shot to help it yeah and you
have a shot for your knee years and
years and years ago 20 years or
something yeah and then lately it's been
hurting and where do you feel hurting
now basically mini cam and I know like
if prison then here or here and then
down here some yes find the right spot
put it in here you know it's very tender
and you like them that's what just on
this page where it slowly drink this
side I can touch anywhere to anything
nothing excuse when did it start hurting
like that Oh couple months ago a couple
months ago okay and I tried to clean and
I tried to commit a sin i can't
pronounce the name for mike's i'll go to
the d diclofenac faggot so the joint
line is about here and i'm pushing out
yet okay hurt okay if you hit the right
area which you just one of the things i
check when I'm doing this is I follow
where this muscle would go if it was to
continue its kind of hard to see and
it's lower than the joint line and
oftentimes will people will come in with
pain of the joint line and we'll push on
their leg right about here oh that's
okay so how did that feel compared to
what I was pushing up here on the joint
lacks a bit more down there okay so that
that shows me what I was looking for and
that's that you feel this newer pain
it's not the pain of arthritis it's
there all the time and usually equal in
both legs although it could be worse
than your right because your x-ray does
show some arthritis worse than the right
leg yeah but this pain just last three
months a few months it's making it hard
to walk I'm really thinking it's not
knee arthritis that's happening acutely
right now there may be some arthritis
pain but that it's because of a bursitis
down here
that hurts really bad right now and the
best way the approach is most likely to
get us the most relief for you would be
to give you a cortisone shot in this
versa the Spurs itís right over the
where these tendons attach to the leg
rather than to give you a shot and
enjoying' today now you may benefit from
a shot in the joint but we don't have to
do that today we can see how we recover
from this in my guess is that within a
few days time you'll be walking much
better with a shy here than if we went
into the joint for their threats and
again that's why I'm coming to you can
hear the professional planet doctor I
don't diagnose it myself good and so so
welcome i don't think so part of the
exam that we would do is actually
pressing around it was a little tender
there is it tinder in front and you said
something about the kneecap area this is
a challenge here just you know and
usually at night it's on this size enemy
camp and that's why i could heat and
i've been doing the heat the ice the
heat that that's the classic
localization of a personís down here it
weekend okay and other things we do is
we strain it to the side and what I'm
doing is trying to make it open up over
here if it's going to but you have an
intact medial collateral needle
collateral ligament or mcl so it's not
opening up you also have an intact LCL
on this side we checked it anterior
cruciate limit or the ACL by pulling
like this now you kind of move there's
because he didn't want me to pull you
off the chain I think safety first okay
hi good so I'm not feeling any laxity in
the knee there and I'm also pushing back
the pcl or posterior cruciate ligament
also inside of the center of the neither
is not giving away at all there's no
looseness no laxity of the joints and
then I'm going I got it tightly that's
right and then I'm twisting your leg and
moving it and what we're testing for
here is a sign often comes with problems
with the meniscus the meniscus tear will
often cause a pain when doing this and
it's not happening so i recommend that
we
go ahead and give the shot here the area
is where this muscle would attach if you
can imagine these muscles coming down
and the tendons spreading out it looks
almost like a bird's foot which is why
it's called the PES anserine asst and
the way we do it is we go from the
center out of the area that we want to
have clean that way when we do another
one that it's clean the area that we're
going to be working is the absolute
cleanest because we wipe away from it
outward so if we're picking up some dirt
and taking it we're taking it away from
where the show goes now this isn't
totally sterile i am using gloves it
touched some things and that's okay
still get good results and this is the
Coors own medicine here I'm just getting
it up in the plunger there it is and
this would be an aesthetic I don't want
you look into the music okay that's is
me sign there's only right now what's
going to happen okay I'm going to spray
some cold stuff on your leg it's really
cool like freezing call everything it is
it makes you so cold it it doesn't hurt
as bad when you get a shot now one of
the things i'm doing is i'm putting my
knees that's the spot isn't give you a
shot there sorry all right i'm gonna go
back hand thank you i really want to hit
a different spot here because I want I
want to know that there's a bone under
it I'm not hitting them low and I just
want to be able to tell it there okay
because that's where the bursa is
it just feels like a little numbness or
something in my leg okay absolutely no
pain so that's good ok now the cortisone
does not take effect for a couple days
sometimes a little longer so you won't
get the full effect but for the next
five hours or so you will have less pain
when you want so let me put a bandaid on
that actually just a little bit is only
need and we'll have your walk okay
preciate I saw how you walked earlier
and it was not good no it wasn't and
what I want to come in before it got
worse now we meet two spots and you have
this reach all the way from one to the
other and yeah let's see how you walk I
can give you a hand I can't stand I can
feel I do yes try to attack you try to
relax a little you're still walking very
stilted yeah if we need your shirts a
little bit not compared okay yeah how it
was and we do know that you do have
arthritis and that nice like a part of
it it actually that compared to where
how I was walking and yes because I
wasn't sure if I'd be able to drive home
after work I have somebody really good
good good alright so we'll expect that
this will start hurting again in about
five hours because we the anesthetic
wears off okay corazon will take few
days kick in and then you'll you'll love
it
oh you're a continuing with the heat and
I surgeon at this point you don't have
to do either because of that bruise it
might be nice to use a little bit of ice
for a while but it's not seriously gonna
make much difference in the outcome
whatever feels comfortable to you as far
as temperatures weight on it yeah yes I
do myself standing straight now to where
I wasn't and you know regarding my son
we talked about that yeah yeah okay good
so we'll just have you do that and let
us know in a few days when you think of
it who's giving a call if it's not
feeling better okay and I think you so
much for joining us we want to thank you
recognize some of our friends boo boo
kitty and Lindsey antwane who helped to
make this possible thank you and other
people can join on patreon and see not
only our videos fear like everybody can
but even other videos that aren't public
completely watch them if you want until
next time Lyndon I thought you might
launch on you just a good helper
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