Latest / Revealing Wholeness with Dr.Troy / Mastering Nursemaid's Elbow: A Guide to Gentle Correction...

Transcript

Mastering Nursemaid's Elbow: A Guide to Gentle Correction... · Revealing Wholeness with Dr.Troy

0:00
Speaker 1: Welcome to Revealing Wholeness, a podcast dedicated to revealing the
0:03
Speaker 1: profound connections between body, mind, and spirit, where we believe
0:07
Speaker 1: that true wellness arises from addressing the root causes of
0:10
Speaker 1: our health challenges, not just masking the symptoms. Here we
0:13
Speaker 1: dive deep into how holistic approaches such as advanced chiropractic care,
0:17
Speaker 1: personalized nutrition, and natural healing practices can transform your life.
0:21
Speaker 1: Now Here is doctor Troy.
0:23
Speaker 2: Hello and welcome. I'm doctor Troy. I may get a
0:27
Speaker 2: little bit of flack over this, and if you're a
0:29
Speaker 2: medical provider out there, out there, just hang in there
0:32
Speaker 2: with me. Many times we're told, well, you can't tell
0:36
Speaker 2: the public how to set a dislocation because there are
0:41
Speaker 2: complications that they could entrap a nerve or blood vessels
0:45
Speaker 2: and be a life threatening situation. While I suppose that
0:50
Speaker 2: is the case in some massive dislocations, one comes to mind.
0:55
Speaker 2: I had a client one time that in desert storm
0:59
Speaker 2: if you're not fromamiliar was a war way back, I
1:05
Speaker 2: think it's late nineties, and he was walking and I
1:12
Speaker 2: believe it was not him, if my memory serves me right,
1:14
Speaker 2: but a landmine had blown up very near him and
1:18
Speaker 2: the concussive force crushed his face and knocked him out,
1:23
Speaker 2: and when he woke up, both his legs were laying
1:27
Speaker 2: across his chest, and he thought they were somebody else,
1:30
Speaker 2: and he freaked out and threw them off of him,
1:33
Speaker 2: thinking that they were just a set of somebody else's
1:37
Speaker 2: legs that have been blown off, and it was quite
1:39
Speaker 2: horrific to imagine, but they were his legs, and when
1:42
Speaker 2: he threw them off his chest, they both went back
1:45
Speaker 2: into socket because they had been dislocated. And needless to say,
1:49
Speaker 2: it was rather painful now that he suffer some debilitating
1:55
Speaker 2: entrapment of nerve or blood vessel when a massive joint
1:59
Speaker 2: like that that was dislocated his legs and they went
2:03
Speaker 2: back into socket. No do most shoulder dislocations ultimately approximate themselves,
2:12
Speaker 2: meaning go back into socket on their own. Yeah, many do,
2:17
Speaker 2: and no medical provider was there to make sure. Of course,
2:21
Speaker 2: what they want to do is they want to set
2:23
Speaker 2: it in a hospital, do an MRI and make sure
2:25
Speaker 2: that there was no entrapment. While that is probably prudent,
2:30
Speaker 2: it is rare. However, we're talking about something much more
2:34
Speaker 2: specific and simple, like a nursemaid's elbow and if you're
2:38
Speaker 2: not familiar with the term an elbow dislocation on a
2:42
Speaker 2: small child, you have two bones in your forearm. We
2:46
Speaker 2: have the ulna and the radius, and we think, well,
2:50
Speaker 2: isn't just one bone my like my elbow. No, there
2:54
Speaker 2: are two bones there and they glide on each other
2:57
Speaker 2: so that we can turn our wrist over like turning
3:01
Speaker 2: palm up or turning palm down. That's those two armbones
3:05
Speaker 2: sliding against each other with the wristbones to make that
3:08
Speaker 2: motion happen. It's quite beautiful actually, But towards the elbow
3:13
Speaker 2: and the outside of the arm is the radius, and
3:16
Speaker 2: the radius is sitting there, and in a child, it
3:19
Speaker 2: does not have a very deep groove for the ligament
3:23
Speaker 2: that holds it close or approximate to the ulna or
3:27
Speaker 2: your elbow, the actual elbow that we would consider our
3:31
Speaker 2: elbow where our funny bone is on the inside, and
3:34
Speaker 2: so that radial head that ligament can slip off if
3:38
Speaker 2: the child is tugged by a nurse maid. And that's
3:42
Speaker 2: why it was called it, because a nurse maid would
3:45
Speaker 2: be rearing some child and be frustrated the child was
3:49
Speaker 2: wanting to do their own thing and pull them by
3:51
Speaker 2: the arm and literally dislocate that ligament off that very
3:56
Speaker 2: shallow groove that's supposed to hold the radius together with well,
4:01
Speaker 2: in an adult, that groove is much more robust and deeper,
4:04
Speaker 2: and the ligament does not slip off. I could not
4:06
Speaker 2: imagine dislocating an adult's owner ligament my gosh anyways. But
4:12
Speaker 2: in a child, if they do it once, it is
4:15
Speaker 2: fairly common that they may do it again because theirs
4:18
Speaker 2: is just less shallow than others. And I've done podcasts
4:24
Speaker 2: in the past on nurse maid's elbow, but I've never
4:27
Speaker 2: really done an in depth kind of this is a
4:31
Speaker 2: how too, And having set one of my child's elbows
4:37
Speaker 2: three times each, it was an unpleasant experience, to say
4:41
Speaker 2: the least. Some children are very easy. The other day,
4:45
Speaker 2: I had a child come in late on a Thursday
4:49
Speaker 2: and father carrying him, and I could see that the
4:52
Speaker 2: arm was down. It didn't hit me right away, but
4:56
Speaker 2: I said, hey, what's going on with him? And he
5:00
Speaker 2: talked about the tug of war. I immediately looked at
5:02
Speaker 2: the arm. I'm like, oh, a nurse maid's elbow. And
5:06
Speaker 2: as he explained it, he said that his wife, who
5:09
Speaker 2: was fairly versed that he said it was something with
5:12
Speaker 2: his elbow. Said, yes, a nurse maid's elbow, and he said, yes,
5:15
Speaker 2: that's what it was. I said, well, let's get it set.
5:19
Speaker 2: And so he set the little boy on my counter
5:23
Speaker 2: and I asked the father, would you like to set it?
5:26
Speaker 2: He's like, uh no, And I said, fair enough, I understand,
5:31
Speaker 2: and I said you may have to do this again sometime,
5:34
Speaker 2: and you don't necessarily have to bring him in because
5:36
Speaker 2: it's not very complicated. When we see a child present
5:41
Speaker 2: where it looks like their shoulder because they're guarding their
5:44
Speaker 2: shoulders kind of held up like if you shrugged, and
5:48
Speaker 2: their arm is a little bit straighter than ninety degrees
5:52
Speaker 2: at the elbow, and they're complaining about their elbow or
5:55
Speaker 2: their shoulder, or they're just their arm because they cannot
5:57
Speaker 2: communicate it because they're so young, and you might think,
6:00
Speaker 2: oh my gosh, they dislocated their shoulder. How they're holding
6:03
Speaker 2: their body. No, it's typically that nurse maid's elbow, and
6:08
Speaker 2: ultimately the fixes they don't really want to rotate their
6:12
Speaker 2: arm at all, because they're obviously not very happy about
6:14
Speaker 2: having a dislocated elbow. However, the maneuver is the back
6:21
Speaker 2: of the palm to the heart or chest or sternum.
6:26
Speaker 2: And I'm going to clarify here. If we have this
6:29
Speaker 2: arm down and we just rotate the palm out underneath,
6:35
Speaker 2: so let's talk about that, because that are maybe two
6:40
Speaker 2: ways you're thinking to rotate this hand. So we are
6:44
Speaker 2: going to go if they're holding it like palm towards
6:49
Speaker 2: their stomach, which is often the presentation thumb up. So
6:53
Speaker 2: if you put your hand kind of elbow tight against
6:57
Speaker 2: the body, you could even elevate your shoulder a little bit,
7:00
Speaker 2: your hand or your palm of your hand right on
7:04
Speaker 2: your stomach. You now have the presentation that they that
7:08
Speaker 2: they will go. So let's do the left arm first.
7:11
Speaker 2: So if your left arm is towards your stomach rather
7:15
Speaker 2: meaning the palm towards your stomach, you're going to rotate
7:19
Speaker 2: the pinky away from your stomach, keeping the thumb toward
7:23
Speaker 2: your stomach, and then the back of the palm is
7:26
Speaker 2: going to start approximating the stomach or chest. Now we
7:31
Speaker 2: don't do this maneuver. Lo we bring the arm up,
7:36
Speaker 2: so we're bending the arm even more, trying to touch
7:40
Speaker 2: the palm to your excuse me, the back of your hand,
7:43
Speaker 2: pinky going up at the same time, thumb going down
7:47
Speaker 2: and palm out and to your chest or to your sternum.
7:53
Speaker 2: So if you try to put your your back of
7:56
Speaker 2: your hand the other direction, like thumb out first, pinky
8:02
Speaker 2: going towards the stomach rather than away and trying to
8:06
Speaker 2: put the palm on your stomach or your back of
8:10
Speaker 2: your chest, you'd realize that's quite impossible for you to do.
8:15
Speaker 2: It only goes kind of palm up and that's it.
8:19
Speaker 2: So it shouldn't be too complicated which way you're turning
8:23
Speaker 2: your hand. But I digress, so let's fully explain it again.
8:28
Speaker 2: Palm on the stomach, elbow kind of tight to body.
8:33
Speaker 2: That's how they're going to present. We're going to keep
8:36
Speaker 2: the thumb against the upper stomach. Now, rotate the hand
8:41
Speaker 2: or the pinky up while bringing the arm up and
8:45
Speaker 2: then touching the back of the hand to the sternum.
8:48
Speaker 2: So you realize in a child that they can actually
8:51
Speaker 2: do it, whereas an adult you can almost do it.
8:54
Speaker 2: Now if you take the other hand and turn your
8:56
Speaker 2: hand even more, you'll find that you can do it.
8:58
Speaker 2: If you have some elbow issues, you might twist your
9:01
Speaker 2: own hand with your other hand and approximate the back
9:04
Speaker 2: of your hand to your sternum or heart, and you
9:08
Speaker 2: might even feel a little click in your own own elbow.
9:11
Speaker 2: You probably just adjusted it. It wasn't dislocated, but it
9:15
Speaker 2: certainly probably needed an adjustment if it clicked. So when
9:19
Speaker 2: we come to a child, we're going to cradle their elbow,
9:24
Speaker 2: whichever one it is, with the hand that makes the
9:27
Speaker 2: most sense. So if it is their left elbow, your
9:29
Speaker 2: right hand is going to cradle their elbow. You're going
9:33
Speaker 2: to take their little hand and you're gonna turn it
9:37
Speaker 2: while you raise that little hand up, bending the elbow
9:40
Speaker 2: more to the back of their chest, their chest, their
9:44
Speaker 2: heart area, and you're gonna feel underneath your right hand
9:48
Speaker 2: that's holding the elbow, almost like a rubber band snapping.
9:53
Speaker 2: And it is uncanny how it feels. I have set
9:57
Speaker 2: many and it is just fascinating to feel that ligament
10:02
Speaker 2: snap back over that bone and reset itself. Now, for
10:07
Speaker 2: most children, this is not a pleasant experience, but within
10:11
Speaker 2: about fifteen seconds forty five seconds, depending on how long
10:14
Speaker 2: they've had the ner nurse maid's elbow, they're going to
10:17
Speaker 2: be quite pleased. So it's never fun to cause pain
10:22
Speaker 2: but you're doing it for a very specific purpose to
10:25
Speaker 2: reset something. Only once have I heard of a child
10:28
Speaker 2: when I had explained it to somebody. Oh, my daughter
10:30
Speaker 2: had that, and the doctor said it was going to
10:32
Speaker 2: be really painful, and he set her elbow and she
10:34
Speaker 2: just stared at him and didn't cry at all, and
10:37
Speaker 2: he's like, that's weird, and I'm thinking, yeah, I've set somewhere.
10:42
Speaker 2: The child has literally been turning purple because it hurts
10:45
Speaker 2: so bad, and others it was just kind of a whimper.
10:48
Speaker 2: It just depends, and it's it's just tough. Feel I
10:54
Speaker 2: feel for the child that you're setting. For sure. Now
10:58
Speaker 2: to give you the rundown I had the first time
11:01
Speaker 2: my daughter had hers, I thought it was a nursemaid's elbow.
11:04
Speaker 2: I tried to set it, it did not set. I
11:07
Speaker 2: was like, hmm, maybe I'm mistaken, and so we took
11:12
Speaker 2: her to the hospital and the MD that came in said, oh,
11:15
Speaker 2: it's nurse maid's elbow. I've seen hundreds. And he basically
11:18
Speaker 2: takes her arm and starts twisting her wrist backwards and
11:23
Speaker 2: forwards up kind of out away from her, and my
11:27
Speaker 2: daughter is literally purple, unable to scream because she is
11:31
Speaker 2: in so much pain. And he left and I looked
11:35
Speaker 2: at my wife and I said, he has no idea
11:39
Speaker 2: how to set a nursemaid's elbow, and he will not
11:42
Speaker 2: be touching my daughter again. And so we left four
11:46
Speaker 2: hundred and fifty dollars later without getting her elbow set.
11:50
Speaker 2: That she the next day. I didn't know what to
11:53
Speaker 2: do because I had already tried. I did the maneuver
11:56
Speaker 2: and it didn't set. And I was watching her the
12:00
Speaker 2: next day and she had fallen. She stood up and
12:05
Speaker 2: she looked at her arm, and she looked at the ground.
12:09
Speaker 2: Here is a two year old, just barely two. I
12:13
Speaker 2: think she might have been too. It was just summer,
12:18
Speaker 2: so she was just over two years of age. And
12:21
Speaker 2: she looked at her arm. She looked at the ground,
12:24
Speaker 2: and I watched her turn herself around and throw herself
12:29
Speaker 2: down on her arm and set it herself. I'm thinking,
12:35
Speaker 2: if that is not God speaking to a little child
12:40
Speaker 2: telling them what to do, because I'm just too stupid
12:44
Speaker 2: or inexperienced to set it. I don't know what is.
12:47
Speaker 2: But within about fifteen minutes, because it had been almost
12:50
Speaker 2: twenty four hours that she had had this nurse nurse
12:53
Speaker 2: maid's elbow. I mean, what a trooper and it was set.
12:58
Speaker 2: I was, like I told my wife, because my wife
12:59
Speaker 2: was was in an appointment. We were in an office,
13:02
Speaker 2: and I just marveled at it. I could not begin
13:06
Speaker 2: to wrap my mind around what I had just witnessed
13:09
Speaker 2: this little child do on her own. And with that
13:12
Speaker 2: it made me then start kind of studying that nurse
13:15
Speaker 2: maid's elbow. And if you have one, and you've listened
13:18
Speaker 2: to this, like just get to the point I understand
13:22
Speaker 2: when you try to take that palm out back of
13:25
Speaker 2: hand to the chest, the more you bend the elbow
13:29
Speaker 2: to approximate the shoulder is often, I believe better in
13:35
Speaker 2: a very difficult nurse maid's elbow that does not want
13:38
Speaker 2: to set on its own. Now, the difference is the
13:41
Speaker 2: one that I set last week by this little boy
13:44
Speaker 2: who was not hardly too yet literally moving his hand
13:49
Speaker 2: almost halfway to the to the back of his hand
13:54
Speaker 2: to his chest. I felt it snap into place, and
13:57
Speaker 2: I let the arm kind of go gently said it
14:00
Speaker 2: is in. It's done. And I said it'd probably take
14:04
Speaker 2: a good couple of minutes for what little swelling is
14:06
Speaker 2: there to go away, and he'll be good. I texted
14:09
Speaker 2: them later that evening and they said he held it
14:12
Speaker 2: kind of weird for forty five minutes till he realized
14:14
Speaker 2: it was okay, and then he started using it and
14:16
Speaker 2: he said, doctor Munson and fix my arm, and which
14:21
Speaker 2: is very cute and all that, but it is kind
14:23
Speaker 2: of it is tough. It's tough on kids to do that.
14:26
Speaker 2: So I'm going to tell you if you have a
14:28
Speaker 2: really difficult Nurse May's elbow that you're like, wh I
14:30
Speaker 2: want the set, then you're going to have to bend
14:33
Speaker 2: the elbow more. My daughter, when I set the other
14:36
Speaker 2: five of them that she had three on each arm,
14:39
Speaker 2: one she set herself. I was shocked at how much
14:43
Speaker 2: I had to twist this little girl's arm. It felt
14:47
Speaker 2: like I was going to break it to get it
14:49
Speaker 2: to set. Each time approximating her back of her hand
14:53
Speaker 2: to her chest, I had to twist it well further
14:56
Speaker 2: to get it to set. And her arm was definitely
14:59
Speaker 2: way more than the ninety degrees. It was almost up
15:02
Speaker 2: at her byset. And it is just amazing how some
15:06
Speaker 2: are just so difficult to set. So I lament with
15:12
Speaker 2: you out there if you've dealt with them, if you've
15:14
Speaker 2: got one right now that you're trying to figure out
15:16
Speaker 2: how to set on this particular podcast, but I know
15:20
Speaker 2: that you can do it, and so I hope this
15:24
Speaker 2: was helpful for those of you out there that to
15:25
Speaker 2: medical staff. I hope this experience or my experience helps
15:29
Speaker 2: you in the future and makes it easier on you
15:31
Speaker 2: as well. Until next time, I'm doctor Troy, and remember
15:36
Speaker 2: there is way more right with you than there is
15:38
Speaker 2: wrong with you.
15:39
Speaker 1: The information on doctor Troy Munson's podcast is meant to
15:42
Speaker 1: educate the listener and is not intended to diagnose, treat, cure,
15:46
Speaker 1: or prevent disease.