My Mirror Neurons are Working Overtime

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[00:01:07] I just speak to the patient and at the end hit Carpohen and a soap note generated. I love it and you will too. Welcome back to The Real Estate Podcast, I'm a host doctorate with Modern Manual Therapy Edge Mobility System, Interformant Online Mentoring Program Modern We Have Mastery.

[00:01:26] My cohost is Dr. Andrew Rothschraud, with Modern Patient Education. He's a perfect, he's a perfect, if you listen to our last podcast, he's a perfect instructor for Modern Patient Education due to his life experiences.

[00:01:41] I won't spoil it but you gotta go back and listen to our last episode. This guy is thought virus proof. It turns out. I don't know if this was ignorance or positivity or what? I'm going to go as a first. Yeah, yeah. I'm sure.

[00:01:56] All right, yeah, I wonder what happened to that surgeon. Worst analogy ever. Yeah, no idea. Yeah, yeah, I got to use his paper clips for his fusions. That's thanks to you. It wasn't my first surgeon. I think it was a my actual surgeon. It was my surgeon's partner.

[00:02:12] Right, I know but I'm maybe the whole practice used, you know, that's what there's a class action lawsuit against the paper clip. I'm not sure. You let us use paper clips for fusions anyway. Well, last time we covered Andrew's story and I don't remember where you actually heard

[00:02:30] it. I don't know. You said that you thought it was interesting how I said my foot, I was centrally sensitized from having foot pain. Right? You mentioned it in one of our earlier podcasts, I think probably a few, a few back.

[00:02:45] I think it just brought it up and I had never heard you talk about them before so they wouldn't do it. This come from. Well, I mean, I don't know honestly where it came from. So I noticed almost every kid I had.

[00:03:00] I took off for like a month or so when I had like a traditional job in a PT clinic. So for the first one, I took off a month of maternity leave and we have hardwood floors.

[00:03:14] And I noticed that I don't know if like if I'm pretty sure that at the time my slippers that I always wore it were wearing out. So I was just like always walking around barefoot and I thought to myself like, oh, you

[00:03:26] know my left meta-tarsals are a little sore unless I wear socks. So I would wear since I run, I have like, you know, these cushion socks. I noticed I'm wearing dress socks even to this day that are thinner. It still doesn't feel that great.

[00:03:44] So at first I was like, I have to wear socks. And then for whatever reason socks, I became de-sensitized to the padding of the socks and I had to wear slippers. And the slippers wear cheaper, like whatever, ice attoneers and they weren't really like that nice.

[00:04:03] So then at some point for one father's day, my wife gets me these great like memory foam slippers that are super comfortable and that I'm always able to walk around. But at that point by the time I graduated to these great slippers, it became to the point

[00:04:19] where if I didn't wear the slippers and I was walking barefoot on hardwood floor, it would hurt really bad. Like I was always stepping on a pebble between, you know, almost like in a place where you would have an aroma. You know?

[00:04:35] But I didn't have like point tenderness where neuroma was nor did I have that squeeze test that was that was impositive. And I even thought to myself like all the neuromas I've even treated as a PT, it's been like 50, 50.

[00:04:49] I feel like did I really help them or did it just get de-sensitized? Because the other ones that I couldn't help at all were I did the same things where I'm just kind of like mobilizing the meditarsals and telling them where pads and stuff

[00:05:02] sometimes they got better sometimes they didn't. And it just is often did not get better and went for injections or whatever, which I was that was crazy because the last thing I want would once in a place that hurts the most is an injection. You know?

[00:05:16] I mean, you know. Yeah, right. So I got it just kept on getting worse and worse. And it not only was it painful anywhere where it was hard like our hardwood floors but

[00:05:29] if I was walking around a pool especially the pool with not like the concrete but some I remember my parents' pool it was like all that, you know what's like all that little pebbles that are like wet you into concrete.

[00:05:43] If I was ever walking on anything like that or just barefoot anywhere where there is like uneven ground it felt it started to feel like nails were like our stepping on nails.

[00:05:57] It was so excruciatingly painful and I remember even one time at some points I had to wear crocs in a swimming pool. Like I couldn't even step in a hard pool kind of wearing a pool like normally pools

[00:06:13] have liners and I think they're a little softer and I think at one point wearing some some of its concrete pool and I just was not having a good time.

[00:06:21] So I was holding one of my kids while I was in the shallow end so it was a little bit extra weight and I had to get out and wear my crocs because every single step even in the

[00:06:29] pool much less outside of the pool I would get out of the pool and just hold on. It was so painful. So the way I took care of this was I started looking at you know met head pads and

[00:06:46] I found one that was like this little silicone pad that had like a little silicone co-ring attached to it and I would like wear it around my second toe and the pad would just slip around.

[00:06:58] And you know if it was eventually the ring would break or it would irritate my toe so I thought there's got to be something better than I found these things that are the ones that I actually sell now on edge mobility system.

[00:07:11] It's the same pad but it's like sewn into almost like a sock ring that just goes around. So I wore those for probably about two or three years straight and every I liked them so much

[00:07:25] I was able to like get back into running and everything again working out with no problem and then I started to notice that if I didn't, first it was like oh I could go maybe like a day or two without them before it came back.

[00:07:39] And then I was like well I'm just going to see can I walk barefoot without wearing them at all? And then I would be able to go, I was able to slowly go like a week before I'd have to put it on again for a couple of days.

[00:07:51] And initially when I was first in this kind of decent it is decentization period I would be just as painful when it came back and then slowly and slowly I was wearing it less and less and it's just starting to be like a little achy.

[00:08:07] And then I'd be just more afraid not to wear rather than it actually would be painful. And now I'm at the point where I probably haven't worn them after so many years is probably like a four or five year process right away are them at all anymore.

[00:08:21] And I could walk barefoot. I still prefer slippers because I just I don't like the feeling of it. You know, it bothers me mentally and I'm afraid of it but the part where the central

[00:08:35] sensitization comes in now is my mirror neurons are so sensitized that if I see kids walking barefoot around a pool or kids running around barefoot on stone stones or you know

[00:08:49] like we go camping a lot and there's just like I don't know if you know what a camping pad is like a typical one it's not it's just all all like loose rock you know it's very sharp.

[00:08:57] Um, if I see kids walking around barefoot on that I get I feel like I'm going to flam it like it makes me so nauseous I get nauseous at the thoughts of having to do that. Oh wow.

[00:09:09] Yeah like when we're camping and typically I'm the only one who's allowed to keep a shoes in the RV because my wife's always like these things take up so much room where

[00:09:17] we have like whatever 34 pairs of shoes or something and so we have this big bin and we stick them in and then someone else gets in trouble in the morning where no one's like,

[00:09:25] I'm like, where am I shoes? Where am I shoes? Someone put my shoes away because I'm like a free to go outside and stuff on a rock or something you know. It's no should don't know. Ocean has an entire baseball team of kids. I do. I do.

[00:09:37] It is only six but it's it's a lot. It's a lot of shoes. We have a big RV. You're obviously dead now so we still have room. Couple more kids come and get.

[00:09:48] Yeah yeah well we do have two dogs in it too like two crates, all those kids there's not a lot of room to be around and they. So have a couple one was there ever a couple questions with was there ever any mechanism of

[00:10:01] initial like like known injury trauma over use nothing? No I just noticed that like we had we had these. I don't know why it's like it's like being at home more and not just walking around barefoot in like a slippery sport off.

[00:10:20] It was just something about walking around barefoot. I don't know what it was. And there was a couple of times too where even on that side I developed like an extra amount of calices where I had to go to podiatrists and like a

[00:10:34] freeze in mind of a heavy and they would just shave them off which I also found it amazing this is like a razor and shave it off and I'm like why don't I feel that you know like

[00:10:41] I feel like I feel like I should feel this but they took kind of so expertly shave it off and you ever have this done it's nuts. Yeah I mean like it was so high purtrophied that well dead skin.

[00:10:55] Do you ever get like really all you've done on the foot just to see if there's anything like even popped up? No I don't think so. I mean that was my risk then I don't know

[00:11:05] I think you know that story about how I had like all that worked on in the wrist and ended up having a big cyst which is still there after it was a drain because

[00:11:12] it came back just like they said but um I always had to really sense that it's for that too so I am familiar with central sensitization. Yes. Did you ever did you ever try mirror therapy on yourself? You know what I don't know if I did

[00:11:28] because it's not like it wasn't a billiitating in any way because all had to do with either wear slippers. Yeah you know or I mean because that was even able to as it's like as soon as I had padding underneath my foot I shouldn't even have said that

[00:11:44] like I had to give up running. I was just I was more happy that running didn't like dislodged. Yeah. Yeah it didn't make it worse or it didn't like cause that thing to like flip around.

[00:11:57] Like after I found the one that was sewn into the sock before that when it was just kind of held on by a toe loop they used to flip all around my foot and it would more the

[00:12:07] toe loop would irritate my toe more than my metat medheads getting irritated. So um yeah I mean there's no mechanism that it's not like I just stepped on a rock one day and it became sensitized. It just something about the way I was walking or whatever

[00:12:22] it's funny when I went to the podiatrics and it's telling me about it. It's like maybe you have a leg like discrepancy and I'm like no I don't have a leg like discrepancy because I was already

[00:12:30] you know I was ready like the manual therapist dot com and I was already in the the modern phase of it not like the initial first year I was like beating the tarot of people and posting pictures

[00:12:40] about how it was bruising people and it's funny because he did a supine to longs it test on me and he's like oh you're like went from short to long I'm like okay yeah whatever

[00:12:50] I was like okay I don't I don't honestly believe in that test anymore doc. The shame the chaos is a stop. Yeah. All right so yeah that's my story that's my story.

[00:13:03] I did a couple questions that was one question did you have more than quite one question? No just it was about the radiology and the uh and the radiology. No that's testing.

[00:13:12] All right yeah hey if you have a if you have a personal story and not a patient story and you want to come on podcast and uh tell us about it feel free to do so if you have any comments or

[00:13:22] questions please reach out to us on social media and I always uh rate untold physio stories five stars wherever you listen the podcast especially Spotify and Apple that helps our discoverability and you guys have a great day.