>> I'LL BE YOUR HOST FOR THE NEXT HALF HOUR ASKING LOCAL PHYSICAL THERAPISTS YOUR HEALTH AND WELLNESS QUESTIONS.

WITH THAT I'D LIKE TO INTRODUCE MY GUESTS.

I'M JOINED BY TIM ZIPPLE PHYSICAL THERAPIST AND PROFESSOR AT CENTRAL MICHIGAN UNIVERSITY AND CENTRAL MICHIGAN REHABILITATION.

THANKS, GUYS, FOR JOINING US THIS EVENING ON THIS COLD NIGHT.

BEFORE WE DIVE INTO OUR QUESTIONS.

>> I'VE BEEN A PHYSICAL THERAPIST FOR 25 YEARS AND BEEN IN THIS COMMUNITY FOR OVER 20 YEARS AND I SPECIALIZE AND TREAT A LOT OF PATIENTS AND THOSE THINGS.

>> AND 35 YEARS I'VE BEEN A PHYSICAL THERAPIST 35 YEARS AND EDUCATOR BEFORE COMING TO CENTRAL MICHIGAN UNIVERSITY.

I SEE SOME PATIENTS IN THE CARROLL CENTER AS A PHYSICAL THERAPY CLINIC IN THE UPSTAIRS AND PART OF THE HEALTH PROFESSIONS BUILDING.

YOU BOTH ARE ABLE TO ANSWER A VARIETY OF QUESTIONS.

>> MOSTLY ORTHOPEDIC.

>> FOR OUR AUDIENCE AT HOME WHO WILL WANT TO TAKE PART IN THIS CONVERSATION WHO HAVE QUESTIONS.

YOU CAN GET YOUR QUESTION TO US UNANIMOUSLY BY CALLING YOUR QUESTION ON THE SCREEN THERE.

THIS QUESTION IS FUELLED BY YOUR QUESTIONS PLEASE DON'T HESITATE TO PICK UP THE PHONE AND GIVE US THE CALL.

WE'LL START WITH REALLY BASIC QUESTION TONIGHT.

WHICH IS, WHAT EXACTLY -- WHAT IS PHYSICAL THERAPY?

>> PHYSICAL THERAPY IS A BRANCH OF MEDICINE THAT DEALS WITH PHYSICAL AILMENTS USING PHYSICAL MODALITIES LIKE EXERCISE, HEAT, COLD, DIFFERENT MODALITIES, SUCH AS STIMULATION, ULTRASOUND TO HELP PATIENTS RECOVER FROM ANY PHYSICAL INJURY, SURGERY, ORTHOPEDIC SURGERIES FOR ANY NEUROLOGICAL PROBLEMS LIKE STROKE OR CEREBRAL PALSY.

>> I HAVE AN ANALOGY ANSWER.

I CONSIDER US INVESTIGATORS OF THE BODY.

SO THE AMERICAN PHYSICAL THERAPY ASSOCIATION PUTS OUT THIS CONCEPT THAT WE ARE MOVEMENT SPECIALISTS.

MOVEMENT SPECIALISTS.

SO WE IDENTIFY THINGS, PARTS OF THE BODY THAT DO NOT MOVE APPROPRIATELY AND THEN STRATEGIZE ON HOW TO HELP PEOPLE MOVE BETTER AND LEAD MORE PRODUCTIVE LIVES.

>> OKAY.

ALL RIGHT.

MY NEXT QUESTION IS, I'M GOING TO ADD ON TO THIS ONE, WHAT DOES A THERAPY SESSION LOOK LIKE?

>> SO THAT DEPENDS ON THE REALM OF WHERE YOU'RE TREATING PATIENTS.

I CAN SPEAK FROM THE CARL CENTER WHERE I SAW PATIENTS WHICH IS MORE LIKE AN OUTPATIENT SATELLITE FOR ORTHOPEDIC OR MUSCULOSKELETAL PROBLEMS.

WE FOLLOW THE CDC GUIDELINES FOR PROTECTION OF PATIENTS AND WIPE DOWN EVERYTHING DOWN BEFORE AND AFTER.

I DO HANDS ON TREATMENT.

YOU CAN'T DO MANUAL TREATMENT WITHOUT PUTTING MY HANDS ON THEM.

I PUT THEM MY HANDS ON THEM AND WASH MY HANDS AFTERWARD.

AND THEY LAST 30-60 MINUTES DEPENDING ON WHAT THE INTERVENTIONS BEING GIVEN AND THEN PATIENTS -- IT'S REALLY NOT DIFFERENT EXCEPT ALL THE CLEANLINESS AND CLEANING.

>> THAT WAS GOING TO BE MY NEXT QUESTION, HOW HAVE THOSE SESSIONS CHANGED IN A TIME OF A PANDEMIC THAT WE'RE LIVING THROUGH RIGHT NOW.

>> IT'S THE SAME THING AS WITH THE CLASSROOM.

WE HAVE TO WIPE DOWN EVERYTHING DOWN BEFORE.

PUT STUDENTS ON TABLES AND WIPE DOWN EVERYTHING AFTERWARDS.

ANYTHING DIFFERENT FOR YOUR PRACTICE?

>> WE HAVE TO FOCUS MORE ON HAND SANITIZATION AND HAVING THE PATIENTS COME AT DIFFERENT INTERVALS SO THERE AREN'T TOO MANY IN THE GYM TOGETHER.

>> DID YOU HAVE TO SHIFT IN TELEMEDICINE.

>> WE HAVE DONE SOME.

>> INTERESTING THAT YOU'RE ABLE TO DO THAT.

IN THIS LINE OF WORK.

>> YEAH, WE HAVE INCORPORATED NEW SOFTWARE THAT BASICALLY GIVES VIDEOS OF EXERCISES AND THAT HELPS PATIENTS.

WE CAN'T DO ANY HANDS ON TREATMENT BUT WE CAN DO FOLLOW-UPS >> WE GOT A CALLER.

THEY'RE DIAGNOSED WITH OCCIPITAL NEURALGIA.

HOW WOULD A PHYSICAL THERAPIST TREAT THAT?

>> DEPENDS.

THE MUSCLES THAT EXTEND YOUR NECK AT THE TOP SO IT'S MUSCLE THAT'S TIGHT YOU CAN STRETCH MASSAGE THE MUSCLE AND GIVE THE PATIENT EXERCISES TO STRETCH THAT OUT.

THERE ARE A COUPLE OF MANUAL THERAPY INTERVENTIONS LIKE MULLIGAN TECHNIQUES FOR PEOPLE WHO GET THOSE KINDS OF NEUROLOGIC SYMPTOMS AND/OR HEADACHES, NECK PAIN WITH SIMPLE ADJUSTMENT OF THE SPINE, SOMETIMES THOSE WILL GO AWAY.

IF IT'S LONG-STANDING WHERE THEY HAVE NUMBNESS WHERE THERE'S BEEN NERVE INJURY THAT'S A DIFFERENT LONGER STORY TO RESOLVE THAT.

>> CALLER HAS PAIN IN BACK AND HIP AREA.

WHAT CAN THEY DO TO MAKE THIS BETTER.

I KNOW THAT'S HARD WITHOUT SEEING THIS PERSON, BUT DO YOU HAVE SOME GENERAL SUGGESTIONS?

>> BACK PAIN THE MOST COMMON DISABILITY WE ENCOUNTER IN PHYSICAL THERAPY AND IN GENERAL.

IT ALL DEPENDS ON THE CONDITION OF THE PATIENT, WHETHER THE PAIN IS GOING DOWN TO THE LEGS OR STAYING WITHIN THE BACK AND HIP.

I AUTHORIZE THEM TO DO PREVENTION ALSO AND PROPER LIFTING TECHNIQUES AND GET ADVICE FROM A PHYSICAL THERAPIST.

WE DO SOME SCREENINGS AS WELL AND THEY CAN COME AND FIND OUT WHETHER THEY CAN HELP THEM OR NOT.

>> BASIS OF THE INTERVENTIONS DEPEND ON THE LENGTH OF SYMPTOMS WHETHER IT'S ACUTE OR SUBACUTE OR CHRONIC WHETHER THEY'VE HAD DEGRADATION, BREAKDOWN OF CARTILAGE.

IT DEPENDS.

LIKE A LOT OF THINGS IN P.T.

WITHOUT EVALUATING IT, IT'S HARD TO GIVE SPECIFIC RECOMMENDATIONS >> CALLER FROM MT.

PLEASANT ENCOUNTER.

HOW CAN PHYSICAL THERAPISTS CURE OR PREVENT GOUT?

IS THERE ANYTHING YOU CAN DO?

>> GOUT IS A CRYSTAL DEPOSITION PROBLEM.

IT'S BIOCHEMISTRY SO THAT'S USUALLY A MEDICATION -- MY FATHER HAD GOUT SO I'M FAMILIAR WITH THAT.

SO THE MEDICATION AND DIETARY CHANGES ARE WHAT HELPED CONTROL GOUT.

CERTAINLY IF YOU HAVE JOINT RESTRICTIONS WE CAN WORK TO MOBILIZE OR GIVE PATIENTS TO EXERCISE.

BUT THE CHEMICAL MAKE-UP WHAT THEY EAT AND TAKING IN MEDICATION THAT'S MORE OF A PHYSICIANS THING.

IT'S MORE CHEMICAL IMBALANCE AND WE NEED TO GET THE MEDICATIONS.

WHAT EXERCISES OR NONSURGICAL THERAPIES CAN I DO FOR SCIATICA PAIN.

SOME PATIENTS HAD A FAT WALLET AND IT CAUSED COMPRESSION.

AND IT WAS A SIMPLE METHOD OF TAKING THE WALLET.

IF IT'S A MUSCLE SOMETIMES IT CAN COMPRESSION THE SCIATIC NERVE.

TENNIS BALL SOMETIMES MASSAGES THAT MUSCLE.

AND THAT SOMETIMES HELPS.

>> GOT IT.

WE HAVE A SOCIAL MEDIA QUESTION.

I'M HAVING SOME SHOULDER PAIN.

HOW DO I KNOW WHEN I SHOULD CONSULT A PHYSICAL THERAPIST?

WHEN DO THEY KNOW -- WHEN'S THE TIME TO MAKE THAT APPOINTMENT?

>> USUALLY JUST A SIMPLE SHOULDER STRAIN WILL GO AWAY IN A COUPLE WEEKS.

IF THE PAIN HASN'T REDUCED OR GOTTEN BETTER IN TWO WEEKS PROBABLY YOU SHOULD LOOK INTO GETTING UP WITH A PHYSICAL THERAPIST AND THEY CAN SCREEN FOR MANY PROBLEMS AND DIRECT A PERSON TO -- >> USUALLY PEOPLE DON'T COME TO US UNLESS THEY'RE HAVING PAIN.

IF IT'S PROGRESSIVE PAIN AND IT'S PROGRESSIVE LOSS OF FUNCTION CERTAINLY YOU DON'T WANT TO WAIT TOO LONG UNTIL IT TURNS INTO SOMETHING WORSE.

BUT LIKE YOU SAY, GIVE IT A FEW WEEKS AND THINGS JUST KEEP GETTING AS FAR AS PAIN OR LOSS OF MOVEMENT OR FUNCTION THEN CONSULT.

>> A CALLER FROM LAKE CITY WHAT IS THE BEST REHAB FOR A TORN CALF MUSCLE.

>> IF IT IS COMPLETELY TORN -- SURGERY AND OTHERWISE WE NEED TO FIRST OF ALL EVALUATE AND SEE WHAT GRADE OF TEAR IT IS.

AND SOMETIMES IMMOBILIZATION HELPS.

IT HAS TO BE EVALUATED TO WHAT GRADE IT IS.

DEPENDS ON WHETHER IT'S THE MUSCLE THAT'S TORN OR THE TENDON.

SO A COMPLETE TEAR IT'S GOT TO BE REATTACHED SURGICALLY BUT A PARTIAL TEAR CAN HEAL TAKING THE STRESS OFF IT BUT IT'S A DIFFERENCE IF THERE'S A MUSCLE TEAR VERSUS TENDON.

IT'S GOING TO TAKE POTENTIALLY MONTHS FOR THAT TO HEAL.

>> DOES SOMEONE NEED A REFERRAL TO SEE ONE OF YOU?

>> IN THE STATE OF MICHIGAN THEY CAN WALK IN.

WE HAVE DIRECT ACCESS BUT THE INSURANCE COMPANIES DON'T ALWAYS PAY TO HAVE YOU WALK.

>> DO THEY START WITH A FAMILY DOCTOR AND THEN REFERRED BACK OVER TO YOU >> YEAH.

MOST COME FROM PHYSICIANS.

IF THEY'RE SELF-PAY FOR PAYING OUT OF THEIR OWN POCKET OR JUST COMING FOR A SCREENING, WHICH WE ALSO ALLOW PATIENTS TO COME TO MICHIGAN REHAB FOR AND THEY CAN SCREEN THEM AND 10, 15 MINUTES CONSULT TO SEE IF THE PHYSICAL THERAPY -- >> WE WERE THE LAST STATE IN THE UNION TO GET DIRECT ACCESS.

THAT WAS 2015 AND JUST -- IT'S A SLOW PROCESS UNTIL PEACH CATCH UP AND YOU CAN WALK INTO ANY PT PRACTICE AND BE SEEN THAT DAY AND GET REIMBURSED.

>> OKAY.

WHAT CAN BE DONE FOR RSD?

I DON'T KNOW WHAT RSD >> THAT'S NOW COMPLEX REGIONAL PAIN SYMPTOM.

SO IT'S THIS WEIRD CASCADE OF NEUROLOGICAL SYMPTOMS AND SIGNS THAT ALONG USUALLY WITH SOME KIND OF INITIAL INJURY.

SO SOMEBODY COULD JUST GOTTEN THEIR ARM OR LEG SMASHED BETWEEN A COUCH AND A WALL THAT THEY WERE TRYING TO MOVE AND YOU THINK THEY SHOULD RESOLVE AND THAT SHOULD BE NOT A PROBLEM AFTER A FEW WEEKS.

BUT THEIR SYMPTOMS JUST KEEP GETTING WORSE TO THE POINT WHERE SOME OF THEM CAN'T EVEN WEAR CLOTHING ON THAT LIMB THAT'S INVOLVED.

BECAUSE IT'S SO HYPERSENSITIVE.

SOMETIMES MEDICATIONS ARE HELPFUL.

I TRIED ELECTRIC STIM.

I DON'T KNOW IF YOU TRIED THAT.

AQUATIC EXERCISE AND YOU TRY TO GET THE PEOPLE MOVING AGAIN WITHIN THEIR TOLERANCE FOR WHATEVER THE SUBSTANCE IS THAT THEY'RE MOVING THROUGH, AIR OR WATER.

OR AS FAR AS, MODALITIES THEY CAN'T TAKE HOT PACKS, COLD PACKS SO YOU'RE JUST STUCK WITH ASSISTED MOVEMENT UNTIL THEIR NEUROLOGIC SYSTEM QUIETS DOWN.

>> NEXT QUESTION, IS USING AN INVERTED MACHINE FOR STRETCHING A GOOD IDEA?

>> IT DEPENDS.

THAT WHAT HE I SAY ALL THE TIME.

IT DEPENDS.

I HAVE ONE AT HOME.

I GOT MY WIFE DOING THAT BECAUSE OF HER SCIATICA.

SO IT'S HELPED HER SCIATICA.

IT HELPS -- I HAVE A DEGENERATIVE DISK AND DOESN'T HELP ME FROM DOING ANYTHING BUT OCCASIONALLY I HANG UPSIDE AND THAT'S GREAT.

I HAD A HIP REPLACEMENT AND I STILL HANG UPSIDE DOWN WITH MY ARTIFICIAL HIP AND IT DOESN'T BOTHER ME.

TO DECOMPRESS THE SPINE AND TAKE PRESSURE OFF NERVE ROOTS AND STRETCH OUT MUSCLES AS LONG AS THE PERSON DOESN'T HAVE VASCULAR PROBLEMS WHERE THEY RISK HAVING A STROKE.

MAYBE THAT HE ONE OF THE THINGS YOU WANT TO CONSULT WITH A DOCTOR FIRST YOU START DOING IT.

>> WE HAVE ABOUT 15 MINUTES LEFT OF THIS PROGRAM SO IF YOU AT HOME HAVE A QUESTION, THERE IS STILL TIME FOR YOU TO TAKE PART IN THE CONVERSATION.

CALL THE NUMBER ON YOUR SCREEN.

WE CAN USE SEVERAL MODELING AMOUNTS AND STRETCHES AND EXERCISES THAT WILL DEFINITELY HELP.

AND TENDONITIS IS USUALLY A RESULT OF SOME ABNORMAL MOTION, SO WE HAVE TO ELEVATE THAT AND GET RID OF THAT EMOTION.

>> USUALLY IT'S REPETITIVE STRESS DISORDER.

BUT AS MANUAL THERAPISTS SOMETIMES IT'S MOBILITY RESTRICTIONS IN ALL THE BONES IN THE FEET AND THERE'S LOTS OF BONES SO BESIDES THE STRETCHING SOMETIMES IMPROVING MOBILITY IN THE FOOT IS HELPFUL FOR THAT.

REPETITIVE STRESS THING IS FIGURE OUT WHAT THE REPETITIVE STRESS AND MINIMIZE THAT.

>> SURE.

START THERE.

WE HAVE ANOTHER FACEBOOK QUESTION.

WHEN DOING PT AT HOME, UNSUPERVISED IS THERE A WRONG WAY TO DO IT THAT CAN DO MORE DAMAGE THAN GOOD?

>> THAT IS DEFINITELY TRUE.

YOU CAN DEFINITELY CAUSE MORE IRRITATION.

THERE ARE TWO REASONS WHY YOU WOULD HAVE MORE IRRITATION.

EITHER YOU DON'T HAVE ENOUGH RANGE OR ENOUGH STRENGTH IN THE JOINTS AND MUSCLE AND YOU'RE OVERTAXING IT AND THAT'S MOSTLY WHAT WE COME ACROSS.

PEOPLE BELIEVE THAT NO PAIN NO GAIN.

SO THEY WANT TO INDUCE PAIN IN THEM.

IF ONE PILL WORKS TWO MUST WORK BETTER.

SO DEFINITELY BE MINDFUL OF YOUR OWN BODY.

>> NOW, I HAD TO DO PHYSICAL THERAPY A FEW YEARS AGO SOME OF THOSE EXERCISES FELT PAINFUL.

BUT THERE'S DIFFERENCE, RIGHT?

>> WELL, A DIFFERENCE BETWEEN PAIN AND STRESS.

SOMETIMES THE STRETCHING CAN BE UNCOMFORTABLE BECAUSE THINGS ARE SO TIGHT.

BUT IF IT'S SOMEBODY THAT HAS SEVERE PAIN AND IT LASTS FOR A LONG PERIOD OF TIME, THEN THEY NEED TO CHANGE IN THEIR EXERCISE PROGRAM.

SO FOR EXERCISES WE DON'T GIVE PATIENTS EXERCISES THAT WE DON'T THINK THEY CAN HANDLE.

WE DON'T TEACH FAMILY MEMBERS HOW TO ASSIST THEM UNLESS WE THINK THEY HAVE THE APPROPRIATE SKILLS TO ASSIST.

BUT -- AND YOU KNOW YOU HAD LOTS OF PATIENT THAT'S HAVE COME BACK AND THEY'RE STILL DOING EXERCISES THAT THEY WERE GIVEN 10 YEARS AGO AND YOU THINK YOU COULD STOP THOSE YOU COULD BE DOING GENERAL WALKING NOW.

I THINK IT'S ALWAYS GOOD -- EVEN JUST ON A CHECK-UP JUST TO CONSULT WITH A PHYSICAL THERAPIST ABOUT EXERCISES THAT WOULD BE APPROPRIATE.

>> GOT IT.

CALLER FROM DAVIDSON, WHY DOES MY RIGHT HAND FALL ASLEEP REGULARLY/OFF AND ON.

IS THERE ANYTHING THEY CAN DO FOR THAT?

>> AGAIN, IT DEPENDS.

SO THERE'S DIFFERENT NERVES FEED PARTS OF YOUR HAND.

THIS IS FOR ULNAR NERVE AND THIS FOR MEDIAN NERVE THIS IS FOR RAID RADIAL NERVE.

SOUND LIKE A NERVE COMPRESSION PROBLEM.

I HAD AN ULNAR NERVE NEUROPATHY FROM RESTING MY ELBOW ON THE HANDLE REST IN MY CAR.

I DIDN'T THINK ABOUT IT.

BUT SO IT DEPENDS ON WHAT'S THE CAUSE OF THAT COMPRESSION.

>> WHETHER IT'S THEY HAVE INFLEXIBILITY IN THEIR OWN JOINTS OR THEY'RE DOING SOMETHING THAT PROVOKES COMPRESSION AND PAIN IT'S JUST AN EXAM IN A NATION OF THEIR DAILY ACTIVITIES TO DECIDE WHAT THE OFFENDING MOVEMENTS ARE.

>> WE ALL FEEL NUMBNESS WHEN WE SIT A CERTAIN WAY FOR A LONG PERIOD OF TIME.

IF IT'S ALL THE ARM THEN YOU HAVE TO THINK OF ABOUT CARDIAC PROBLEMS.

THAT MIGHT BE JUST NERVE AND IRRITABILITY BUT IT DEPENDS ON THE CAUSE.

IT MIGHT BE WORTH SEEING A PHYSICIAN.

>> OKAY.

DIFFERENCE BETWEEN RHEUMATOID ARTHRITIS AND OSTEOARTHRITIS.

>> RHEUMATOID ARTHRITIS IS USUALLY MORE COMMON IN FEMALES THAN MALE.

USUALLY STARTS AT 20, 30.

OSTEOARTHRITIS IS WEAR AND TEAR AND HAPPENS WITH AGE OR EXCESSIVE STRESS.

IT CAN HAPPEN TO SOMEBODY THAT IS CONSISTENTLY DOING SOMETHING.

IF SOMEONE IS DOING LOT OF DESK WORK AND POOR POSTURE IN THE NECK YOU CAN GET OSTEOARTHRITIS.

BUT IT'S WEAR AND TEAR >> AND RHEUMATOID AFFECTS SPECIFIC JOINS WHERE OSTEO AFFECTS OTHER JOINTS.

LIKE OSTEO WEIGHT BEARING JOINTS AND ANKLES AND KNEES AND HIPS AND SHOULDERS AND FINGERS AND THEN RHEUMATOID ARTHRITIS TENDS TO AFFECT THE WRIST, HANDS, FEET MORE THAN OTHER JOINTS IN THE BODY.

BUT THEY CAN HAVE THEY HAVE RHEUMATIC FACTORS IN THIS BLOOD SO THEY HAVE TO HAVE DIAGNOSED BY A PHYSICIAN TO DETERMINE WHICH IT IS.

>> WE HAVE A COUPLE MINUTES LEFT.

I'LL SEE IF WE CAN GET THROUGH IT.

IS THERE A NONSURGICAL PROCEDURE TO TREAT A TORN ROTATOR CUFF.

>> DEPENDS ON HOW BAD THE TEAR IS.

PARTIAL TEAR CAN HEAL.

IT IS VERY VASCULAR SO IT HAS A GOOD RECOVERY WITHOUT THE SURGERY ALSO.

>> HOW LONG DOES PHYSICAL THERAPY LAST AFTER HIP REPLACEMENT AM I ABLE TO RUN AFTER HIP REPLACEMENT?

>> YOU'RE TALKING TO THE RIGHT GUY IN 2017.

I HAVE TO SAY IT TOOK ME 15 MONTHS TO FEEL LIKE MYSELF AGAIN.

NOW WHEN I WALK I CAN'T REALLY FEEL A DIFFERENCE BETWEEN MY HIPS WHICH IS WEIRD BECAUSE I KNOW THIS IS FAKE.

I KNOW IT'S METAL BUT I'M RUNNING ON THE TREADMILL IN THE MORNING.

I DON'T PLAY RACQUETBALL OR PLAY TENNIS OR GO DOWNHILL SKIING, BUT I CAN JOG ON THE STREET WHEN.

YOU CAN GET TO MORE AGGRESSIVE ACTIVITIES.

IT'S JUST IF YOU'RE OVERLY AGGRESSIVE YOU COULD REDUCE THE LONGEVITY OF HOW LONG IT WILL LAST.

>> WHAT CAN BE DONE AFTER LYMPH NODES ARE REMOVED FROM THE NECK.

HOW CAN YOU GET THEM RECHARGED?

>> YOU CANNOT.

ONCE THEY'RE GONE.

THERE IS NO ARTIFICIAL LYMPH AND IF YOU HAVE LYMPH ADEEM IN A, SWELLING IN THE ARM FROM LOSING LYMPH NODES AND NECK OR IN THE GROIN AND SWELLING IN THE LEG THAT COULD BE A POTENTIAL LIFELONG ISSUE AFTER YOU'VE HAD LYMPH NODES REMOVED.

>> GOT IT.

WHAT TREATMENTS ARE RECOMMENDED FOR GROWS FROZEN SHOULDERS -- I'M NOT SURE WHAT THAT IS.

>> FROZEN SHOULDER IS BASICALLY STIFFNESS THAT IS IN THE SHOULDER AND WE CAN -- USUALLY WE CONSIDER THEM A PHASE AND DOING FREEZING PHASE THERE IS MORE PAIN BUT YEAH, MOBILITY IS THE KEY.

AND WE CAN HELP IN PHYSICAL THERAPY.

>> SOMETIMES WE CAN TURN THAT AROUND IN A COUPLE OF WEEKS IF IT'S ACUTE OR SUBACUTE.

BUT IF IT'S CHRONIC AND THEY HAD IT FOR 6 MONTHS THEN THAT'S A HARDER TURN AROUND.

>> WHAT IS TREATMENT FOR PLANTAR FASCIITIS?

>> STRETCHING AND MASSAGE AND TEACHING PATIENTS TO STRETCH AT HOME.

I HAD THAT IN THE PAST MYSELF.

WEIRD I'VE HAD ALL THESE THINGS.

SO THEY HAVE TROUBLE GETTING UP AND WALKING AROUND, SO I WOULD JUST GET UP AND STRETCH BEFORE I STOOD UP AND WALKED AROUND IN THE MORNING.

AND THEN SOMETIMES YOU ASKED ABOUT HEAT AND ICE.

ICING IT WHEN IT'S ACUTELY INFLAMED AND THEN HEATING IT UP WHEN YOU WANT MORE COMFORT AND STRETCHING IT.

>> WE ARE OUT OF TIME.

THANK YOU BOTH WE APPRECIATE YOU BEING HERE.

ONE NOTE SCHEDULING CHANGE FOR VIEWERS THAT I WANTED TO GO OVER.

NEXT WEEK WE WILL NOT BE LIVE.

WE'RE GOING TO BRING YOU A SPECIAL EPISODE OF ASK THE SPECIALIST FOCUSSED ON DIABETES.

WE'LL RETURN WITH ANOTHER LIVE EPISODE ON THURSDAY, FEBRUARY 25TH.

WHEN WE ASK THE DOCTORS.

THANK YOU FOR WATCHING.

HAVE A GREAT NIGHT.