DR. MITCH MALLY International Speaker Chiropractic Physician GCA presents

2 The Epidemiology of Foot and Ankle Injuries in Sports A 6 1/2 year review of 16,754 injuries seen in a multi-specialty sports medicine clinic found that 25 percent of the 12,681 injuries in the top 19 sports occurred at the ankle and foot.

3 85% of low back pain due to loss of structural integrity between spine and lower extremities 44% of injuries to runners involved the foot 50-60% of runners are injured severely enough to stop training for 3 or more days 60% of running injuries occur at 30 plus mpw 65% of runners pronate 63% of running injuries between years old 84% of runners under 40 years old 75% have external tibial torsion syndrome

4 Common Injuries in Runners: Diagnosis, Rehab & Prevention Factors contributing to malalignment: leg length discrepancy, femoral anteversion, asymmetry of hip motion, knee position, tibial varum and particularly excessive pronation … should be carefully assessed.

5 Effect of Axial Load and Ankle Position on Ankle Stability Ankle stability is related to articular congruity with increased load- bearing emphasizes the importance of anatomical restoration of the ankle mortise in the injury state.

6 ARCH-itectural Morphology

7 Biomechanics of Foot Inversion

8 DR. MALLY’S “5 STEP” FOOT SUBLUXATION BIOMECHANICS

9 A 2-4mm joint space should be visualized across the talo-tibial joint. When the talus and calcaneus are subluxed, often a large radiolucent joint space is visualized approx. 5 mm. Superior and inferior calcaneus and cuboid articular surfaces should be congruent. Joint spaces throughout the foot should be 2mm throughout and symmetrical across the joint This talar prominence beak fits into a corresponding recess on the calcaneus. It may lie posterior to it when talus is subluxated.

10 HALLUX VALGUS DEFORMITY

11 A. Claw Toe B. Hammer Toe C. Mallet Toe

12 Morton’s Interdigital Neuroma

13 Morton’s Interdigital Neuroma

14 Tarsal Tunnel Syndrome

15 Calcaneal Kinematics

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18 Subtalar Dislocation

2015

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34 Q Angle / PTT Test

35 Meniscal Migration

36 Tibial Torsion Syndrome

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38 BECOME THE LEADING EXTREMITY EXPERT IN YOUR COMMUNITY SEMINAR SPECIAL!!! Purchase The most comprehensive DVDs and Books on Extremity Adjusting Techniques, X-rays, Research, Biomechanics, 3D Animation and Computer Graphics and learn Dr. Mally’s “SNIPER-SPECIFIC” extremity adjusting protocols witnessed on bone models, live speed and in slow motion! Learn how to help patients and exponentially increase your business at the same time Ask your State Association to invite Dr. Mally to speak at your next Annual State Convention and for Hands-On Extremity Adjusting CEU courses.

39 For more information on Dr. Mally’s seminars (Group, State Association, Private 1-on-1 seminars, etc.) and to purchase products: please “PJ” VP of Operations at Mally Enterprises