Chiropractic Sport Institute

Chiropractic Sports Institute was started with the sole vision of providing the best and most advanced chiropractic treatment to the greater Conejo Valley area.

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It takes work to heal- Complex tear of Ankle

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Dr. Terry Weyman

Ever wonder how the professional athlete comes back from “major and career ending injuries faster than the regular person”? Its because the hard work that make them the top 1 percent of all the athletes does not stop when they leave the field. They are willing to do what it takes to get where they want to go. You would never hear a Pro say “I don’t have time to rehab, or, if my insurance doesn’t cover it, I can’t do it, or, my favorite, I can’t do all of that, I have to work for a living”. Professional athletes realise something, their body is their most valuable asset and without it working in perfect order, they can’t go to work. They can’t make money or live the life they want to live. Well, this journey I have taken to heal faster, but functional, has shown me many things. One, it takes a lot of work and time. Second, the money spent is far less than the money that I would lose in the long run with a bum ankle. Third, Anyone who values their body can do it!

As many of you know the standard for this kind of injury is bed rest with a cast for 2 weeks, then non wt bearing crutches for the next 4 weeks, then build into wt bearing and begin rehab to get the range of motion back. This is the standard that most Doctors (MDs and DCs) as well as Athletic Trainers and PTs go by. HOWEVER, when talking to colleagues of mine who work with NFL, MLB and Pro Cycling teams the rules change. Why, because their clients HAVE to get back to work and they can’t have residual weaknesses. Why wait for scar tissue to build up then go to a PT to break it down in an attempt to get movement? Instead, under close watch, rehab the joint under light load and allow the scar to build in a functional manner.

MY days:

As you know I am back to work 3 days a week. M-W-F. These work days are long so I am using tue and thurs to recover and rehab. HOWEVER, to get through a full day requires extra work. I start my day on my Marc Pro for 45 min (http://www.marcpro.com/ Promo code: gotcsi) Then I eat breakfast and take my subacute supplements. I lather Traumeel on my leg (LA MDs are injecting Traumeel into joints now), put on my compression socks and walking boot, grab my crutches and head to the office. At the office I am not using the crutches to go from room to room but when I leave for lunch I use them. During my lunch hour, I hop in the Hyperbaric Chamber with the Erchonia Cold Laser and do the protocols for bone and ligament repair. More Traumeel, then sock back on and boot. Eat/supplements and its back to the office for my afternoon patient load. At the end of sometimes a 12 hour day, I get adjusted by one of my CSI Doctors, Dr. Amir Mahmud, to pull out the kinks from my altered gait and to restore neurological flow. Afterwhich I seek out my Acupuncturist, Dr. Shari Philips, who is kind enough to stay late. After an hour of Acupuncture its home for some Ice, rest and light Marc Pro. Finish up my paperwork from the day, take my Joint reconstruction supplements and then Kinesio tape my ankle for bed.

On Tue and Thurs the fun really happens. After breakfast, I go to the local pool and begin my exercise routine. Each day I add a little.

1. I swim 8 laps, adding one lap per day. 25 meter pool
2. Walk the width of the pool (competition regulation size) 10 times. Each day I
move 6″ down towards the shallow end. I started with the water at shoulder level
Now its chest high. Each day adds a little more body weight to foot. I want
NO pain! I walk slow, concentrating on perfect gait.
3. Balance 30 seconds eyes open, 30 eyes closed on “bad leg”. Same as #2, move
each day alittle more towards shallow end. NO PAIN
4. Walk backwards 5 times, same rules as 2.

Repeat 3 times.

I dry off and head to the hyperbaric for an hour of Hyperbaric (HBOT) therapy with the laser. Then Today I added something new. I paid a visit to the Neurotropia Brain Training Center. They work alot with the REDBULL athletes. What their machine does best is work with athletes who have anxiety and how to increase hand eye coordination, but it also helps “remap” the brain after injuries. What does this mean? When ever you have an injury there is a mental component that goes with this injury. Hence, the fear of return to play, guarded gait, lack of fight and overall fear of reinjury. I wanted to start work on this component now and not wait till its deep seated. The initial test showed I had some effects already, so I am glad I began when I did. (Gotta work on getting this technology over to CSI!)This process took another hour.

After lunch, I went home, rested and iced. Then Before Dinner, I was at it again, using a vibratory percusser to loosen the lower leg muscles to create blood flow to the foot. I went back on the Marc Pro for 45 min, then Kinesio tape for the remainder of the night.

That is my week. ARE YOU WILLING TO DO ALL OF THIS? Don’t forget I have 2 young boys, sole income provider for my family and I am still working. Its because of ALL of this that I must do what I am doing. I don’t have time and can’t afford to be down, Plus, I AM WORTH IT. The money I am spending I will get back by being back to work full time in a short amount of time.

Make sure you are willing to do what you don’t want to do, so you TOO can achieve what you want to achieve!

This is my schedule for the next two weeks. I will continue to work 3 days a week. My plan is to go back to full time (5-6 days a week) at week 5! OH did I mention because of the healing that I have witness, CSI has just purchased a HYPERBARIC CHAMBER!.

Want to learn more about this amazing tool and its uses, research HBOT therapy, mild hyperbaric Chambers. I have used it on numerous high level athletes with amazing results, now, it will be available to everyone at CSI.

Dr.Terry Weyman is the clinic Director at CSI, for more information go to http://gotcsi.wpengine.com/

Grade 3 ankle injury.. a small light at the end of the tunnel

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Dr.Terry Weyman

Well, today marks the two week point and a small light is beginning to shine. I am continuing my daily routine of supplements; however, I am now adding more bone and joint remodeling supplements instead of those for acute care. I am still using crutches to keep the pressure off the bone contusions and injured ligaments where ever I go.

I am telling you all, if you get an injury such as this, find a Hyperbaric Chamber and get in it. BUT the chamber ALONE is not the key. The key is adding Cold Laser therapy in the chamber! Using specific protocols, within 30 minutes the pain in my ankle was at least 50% less and the passive range of motion gain is huge. This devise has made a big difference in my success so far!

With any injury such as this, proprioception, balance and strength are lost very quickly. So, today, I went to the local pool and began my rehab. I wanted to work on keeping the proprioception (joint awareness) intact and to restore/maintain proper biomechanics. The work out took 45 min and was so worth it. When I started my ankle and foot hurt bad, by the time I was done, they felt so much better. Here is what I did.

1. I Swam laps for 15 min, with minimal kicking. This allowed my injured ankle to work with the water and begin to loosen up with no weight bearing or stress. Swimming is a great work out to work the entire body. It not only gets your heart beating (aerobic activity) but it’s a great full body workout. When you have an altered gait, (due to a walking cast/boot and crutches), your back and hips are affected. Swimming will help work out these “kinks” and keep your body in good alignment.
2. Next, I went to where the water was just below my mouth and stood on the injured leg with my foot flat in perfect posture. Now the water is supporting most of my body weight. I stood on the injured leg and just balanced. 1 minute with my eyes open and 1 minute with my eyes closed (repeated 10 min). By letting the water push me around, I am beginning to work on regaining my stability.
3. Next with the ankle loosening up I started doing light toe raises (20) then walked the width of the pool 5 times and repeated for 20 minutes. When I first did the toe raises my ankle was weak and I felt apprehensive. By the time I was done I felt stronger and there was no pain. The pool ROCKED.

When I was done, I crutched home, then went on the Marc Pro, ice and rested. After the pool my spirits went up. I know this is a long process and it will take a lot of hard work, but what is the alternative, a life time of weakness and instability? NOT WORTH IT. Put the time in now and reap the rewards in the future!

Dr. Terry Weyman is the clinic director of the Chiropractic Sports Institute, for more information go to www.gotcsi.com

Grade 3 Ankle Rehab continues!

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By: Dr. Terry Weyman

I know a daily blog, means a daily blog, but I confess, I missed yesterday. However, Yesterday was busy and turned out to be a great day. Today is day 3 since the diagnosis and day 4 of the injury and already the injury is making a positive turn

Ever wonder how the pros bounce back so quick and the “common man” doesn’t? Are they superheros? Do they have something the average person doesn’t have? Yes, you could argue they have the resources and financial means to make things happen, but is that all? I hear so many times “they just get a shot and they are good to go”, Really? NO! There is another world out there with the emphasis on tissue recovery, injury rehab and wound management. The difference between the pro and the “common man” is the pro thinks “I have to get back tomorrow to make a living” and they are willing to put in the work. They also are surrounded by professionals whose job is to get them back. They view their body as the biggest and most precious commodity they have and will do what it takes to get it back to working order. They don’t let insurance dictate their health, they know they will lose more money by being out then they will spend on getting better. This is the line that most “common people” don’t cross. They don’t put together a team to get well and do what it takes to do so. This is what I have done and so far I am already weeks ahead of schedule!

The day begins:
Yesterday I decided I needed to get back to work, more for mental than physical. I needed to be in an environment that invoked positive attitude and healing. I started the day with my nutritional cocktail of Proteolytic Enzymes (zymain), Omega 3, Ligaplex and joint support. http://bit.ly/healingsupplements This cocktail is so important. Again, you would not build a house or repair a fence without the necessary tools and supplies. When you are injured you need the necessary chemicals at hand to make the repairs. If you don’t supplement your diet where is the body going to get what it needs? From your diet! If you diet doesn’t have it the body will find them but this takes time and time is not what you have. Let me tell you, I am taking these supplements 4 times a day and my urine is clear. What does that tell you? My body is using everything I am giving it. Again, have the biochemicals on hand so your body can take what it needs!

I put on my compression socks, again KEY, to keep the joint supported and fluid being pushed through the foot with any movement. http://bit.ly/compressionsocks I then put my boot on and go to work. Its only Wed and I am back to work!

Lunch hour treatment continues
I grab a quick bite of protein and veggies and head to Dr. Shari Phillips, Acupuncturist, to get needled up. Acupuncture is so important to keep circulation moving through the injury. The goal this first week is to flush out “stagnant blood” and bring in new blood that is rich in the biochemistry and oxygen. By using Acupuncture and Stim you can target the area you want to work on and enhance the circulation without compromising the integrity of the joint.

After Acupuncture its off the Hyperbaric Chamber, for some Cold Laser (using the Erchonia Cold Laser) and ROM exercises while inside the chamber for maximum benefit. I am in there an hour. Performing passive ROM exercises while using the Erchonia cold laser. Within 30 min the I can feel the ankle joint losen and soften and my foot begins to work in a more controlled manner.

The swelling is going away fast and the blood is coming to the surface. My foot is turning black and blue faster than I expected and in the chamber today I was able to flex my foot 30 more degrees in dorsi flexion than the previous day! So far so good!

This is week one. The point of week one is to provide nutritional support for healing since a majority of healing happens in the acute phase (the first week). To provide adequate amount of O2 and blood flow through the injury and to establish pain free passive range of motion.

Week two will be anther story. For now what I am most happy about is I was able to go to work 3 days after the accident with modified wt bearing in the walking boot. I had minimal pain and discomfort and my foot and leg are feeling good. Now its off to Hwave for another 45 min, take my supplement cocktail and rest. Tomorrow we do it all over again!

A special thanks goes to my team. Without them this would not be possible. Dr. Shari Phillips, who is an extrodonary Acupuncturist with advanced knowledge in Orthopedicts and Nutrition. She can be reached at info@shariphillipsacupuncture.com. To My Doctor at CSI, Dr. Amir Mahmud, for his skill as a Sports Chiropractor, getting adjusted is key to biomechanical as well as Neurological well being. Dr. Grace Hameister, the “Laser Guru” This Doctor is the guru when it comes to Lasers and tissue healing. She is also so well versed in Hyperbaric Chambers and combo therapy. She has helped many Pro Athletes as well as trained some o f the Top Athletic Doctors in the field. I am so blessed she is my friend and is helping out. She can be reached at docnextdoor@yahoo.com. Rob Bolton and Billy Miller for allowing me to use their Hyperbaric Chamber. If you need one call on “The ELite Factory” in Westlake, Awesome place to train and heal.

Day 1 rehab- Grade 3 ankle injury

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Dr.Terry Weyman

Woke up with a very swollen and non functioning foot. First order of business, bring nutrients to the injury in a non wt bearing, stressless manor. Introducing the Hwave!http://doiop.com/h-wave By using the home Hwave I can stimulate capillary dilation without stressing the muscle. Bringing healing nutrients is vital to recovery as well as flushing out stagnant debris that will inhibit the healing process.

Bring on the nutritional Calvary!

I started my morning with my cocktail. Proteolytic Enzymes, Ligaplex, Joint support and omega 3s. Also, checking my diet http://doiop.com/reduceinflammationwithdiet Nutritional support is something that many athletes forget or tend not to focus on, yet it is SO important. You would not put the best parts on your race car then put junk gas in the tank would you? Supplements are just that, they give added nutrients when your body needs them. In this case, my body is trying to heal, so I am giving it the nutrients it needs to rebuild. Another analogy, when you are building a house and its foundation time, you bring in a lot of cement, when its roofing time, you bring in a lot of tiles, not one at a time. Same thing here. Give your body the building blocks it needs to repair.

After my cocktail and healthy breakfast of fresh fruits, yogurt and protein, I go back on the Hwave to drive those nutrients to the injury site. Keeping my ankle elevated I stay on my machine for 30+ minutes.

CARDIO TIME

With sitting, comes a decrease in cardio output. I don’t want this. I want blood flowing and my heart and lungs to work to aid in the healing process. How do you do this and not stress out the ankle joint? Good ol push ups and sit ups. 5 sets of 20 with a 1 min rest in between. I use the perfect sit up http://doiop.com/perfectsitup to keep my core in shape and not stress my ankle. Keeping the core strong is vital since I am on crutches and don’t want my back affected in this process with my altered gait.

Next step, heading to the office for some therapy. Even though its day 2 there is a lot that can be done. Restoring passive ROM, Acupuncture to stimulate circulation to flush out old blood then onto the hyperbaric chamber with the Erchonia Cold Laser to get more O2 to the area to stimulate healing. Getting well sometimes is a full time job, but what are the options? You only get one body and I can’t afford to be down or have a weak ankle in the future.

For stability, to decrease swelling and to aid in compression, I put on my CSI compression socks. These are so important for stability and healing any lower extremity injury. http://doiop.com/compressionsocks

Ok, I am out, got my socks, crutches and desire. Heading to the office to keep the plan in motion. Talk to you tomorrow.

Thanks to my crew, Dr. Shari Philips Acupuncture (shariphillipsacupuncture.com), Rob Bolton at the Elite Factory (hyperbaric chamber), Dr. Amir Mahmud (CSI Sports Chiropractor)

Severe Grade 3 Ankle injury- The rehab begins

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By Dr. Terry Weyman

48 hours ago I was at a Motocross track watching my son, Tyler, practice. It was an awesome day, the track was great, Tyler was riding great an smiles were everywhere. Then it all changed. Tyler was doing a jump section that involved 2 big doubles, the first one 40+ feet and the second 80+ feet. He was coming up on two riders on 450s who were not as skilled. He passed the first rider and committed to the second jump to pass the second rider. When Ty was in the air the second rider bobbled in front of Ty and his bike kicked him into the line that Tyler was committed to. Tyler landed right on him in a horrific crash. I was standing on the opposite side of the track and took off running with one thought in mind, to get to my son. Ty hit the other rider with such force that the subframe of the other riders 450 bikes was bent at a 45 degree angle. God was watching over both of those riders as both got up and checked out ok with only minor bumps and bruises. Myself, not so lucky. In the frantic run I stepped on the edge of the track and snapped my ankle on the 10″ lip. I kept running till I got to Ty and checked him out. He had pain in his hip and wrist, which later dissipated with quick therapy at CSI, however, my ankle continued to swell. Once I got us home I was unable to put weight on it and I knew I was in trouble.

The following day I went to an orthopedic friend of mine, Dr. Pierre Durand who took Xrays and examined my Ankle. The good news, nothing broken. The bad news, I ruptured all the main ligaments in my ankle. I have a grade 3 tear (full rupture) of the ATF (Anterior Talar Fibula lig), the PTF (posterior Talar Fib) and an avulsion fracture of the Deltoid Lig. I was told to wear a boot, 24/7 (yes even to sleep) for 2 weeks, then stay in the brace for 6-8 weeks. After this begin rehab for another 4+ weeks. For those of you who are not good in math, that is 3+ months before I can rejoin my life!

The purpose of this blog, is to track my recovery. To show you that the body is an amazing thing, given the right tools and the right knowledge it can heal and do amazing things. I am at the start, You will follow me all the way to the end. I will do things out of the box as well as in the box. To just sit and do nothing for 8-12 weeks is not an option. We do things different at CSI and now you will see it first hand. Share this blog to others who have had similar injuries. Follow along as my team works on me. This may not be reality TV, but its Reality Blogging, healing style.

About Dr. Terry Weyman

Dr. Terry Weyman lives in Southern California where he has been the Clinic Director of Chiropractic Sports Institute for over 31 years....
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About Dr. Aaron Schneider

Dr. Aaron Schneider is a Southern California native and received his doctorate from Palmer College of Chiropractic in San Jose. Since graduating in 2017, ...
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