Summary

• Assessment and Initial Observations (0:03)

◦ Dr. Richard Hazel suggests that the patient's symptoms indicate calcaneal nerve entrapment rather than a simple bruise.

◦ The patient is asked to lie on their back with a towel under their left knee to assess sensitivity in the soleus muscle.

◦ Dr. Hazel checks for pain in the soleus and tibial nerve areas, noting tightness, sensitivity, and cramping.

◦ The patient confirms sensitivity on the medial heel and tenderness in the tarsal tunnel area.

• Treatment Plan and Techniques (2:51)

◦ Dr. Hazel plans to treat the soleus to release tension and potentially alleviate nerve compression.

◦ The patient is asked to wear cushioned shoes to manage heel pain.

◦ Dr. Hazel discusses the possibility of treating the Quadratus Plantae nerve if the soleus treatment is insufficient.

◦ The patient is positioned with their knee elevated to facilitate treatment of the tarsal tunnel and soleus.

• Detailed Treatment Procedures (4:57)

◦ Dr. Hazel explains the locations and techniques for treating the flexor digitorum longus and tibialis posterior muscles.

◦ The patient is tested for ankle inversion to assess the effectiveness of the treatment.

◦ Dr. Hazel adjusts the treatment intensity and frequency to achieve the desired response.

◦ The patient is asked to rate the pain and sensitivity levels before and after treatment.

• Advanced Techniques and Adjustments (13:09)

◦ Dr. Hazel discusses the importance of proper needle placement and angle to avoid nerve irritation.

◦ The patient is treated with low-frequency and low-intensity stimulation to minimize discomfort.

◦ Dr. Hazel explains the significance of the abductor hallucis and navicular points in treating nerve entrapment.

◦ The patient is asked to test the treated areas for pain and sensitivity after the treatment.

• Final Adjustments and Patient Feedback (21:49)

◦ Dr. Hazel adjusts the treatment intensity based on the patient's feedback and response.

◦ The patient is asked to rate the improvement in pain and sensitivity levels after the treatment.

◦ Dr. Hazel discusses the importance of managing patient expectations and potential inflammation post-treatment.

◦ The patient is advised to rest for two days before resuming activities to allow the treated areas to heal.

• Post-Treatment Observations and Recommendations (23:28)

◦ Dr. Hazel explains the potential for inflammation and pain flare-ups after treatment.

◦ The patient is reassured that the initial discomfort is a sign of healing and not a treatment failure.

◦ Dr. Hazel discusses the importance of gradual return to activity and exercise post-treatment.

◦ The patient is advised to monitor their symptoms and adjust their activities accordingly.

• Advanced Techniques for Specific Conditions (23:48)

◦ Dr. Hazel discusses the treatment of sacral foramen and piriformis to address urinary urgency symptoms.

◦ The patient is advised to avoid deep tissue treatments that may irritate the pudendal nerve.

◦ Dr. Hazel shares a case study of a patient with urinary urgency who experienced significant improvement after treatment.

◦ The patient is advised to manage their stress and expectations during the healing process.

• Patient Management and Follow-Up (28:24)

◦ Dr. Hazel emphasizes the importance of patient education and managing their expectations post-treatment.

◦ The patient is advised to monitor their symptoms and report any significant changes.

◦ Dr. Hazel discusses the importance of regular follow-up appointments to assess progress and adjust treatment plans.

◦ The patient is reassured that the treatment is working and to expect gradual improvement over time.

• Exercise and Activity Recommendations (29:25)

◦ Dr. Hazel advises patients to gradually return to their normal activities based on their tolerance and healing progress.

◦ The patient is advised to avoid high-impact activities and to start with low-intensity exercises.

◦ Dr. Hazel discusses the importance of listening to the body and adjusting activities based on pain levels.

◦ The patient is encouraged to communicate with their healthcare provider about any concerns or issues.

• Final Adjustments and Patient Satisfaction (32:23)

◦ Dr. Hazel makes final adjustments to the treatment plan based on the patient's feedback and response.

◦ The patient is asked to rate their pain and sensitivity levels after the final adjustments.

◦ Dr. Hazel discusses the importance of patient satisfaction and ensuring that the treatment meets their needs.

◦ The patient is advised to continue with the recommended treatment plan and to monitor their symptoms closely.