Economic Impact of Misaligned feet.

Musculoskeletal (MSK) Disorders

What is the LEADING CAUSE of disability in the United States?

Right Now:

of persons 18 years old and older are affected.

of people over 50 years of age are affected.

60% higher rate of circulatory conditions

More than 2x the number of chronic

respiratory conditions

Chronic Musculoskeletal Conditions Cause:

110,340,000 individuals sought medical treatment for a

musculoskeletal disease.

In 2008:

It’s Going To Get Worse!

= How Much Money?

The sum of the direct health care costs and indirect expenditures in lost wages for treating MSK disorders was estimated at:

A.) $499 millionB.) $1 billionC.) $101 billionD.) $498 billionE.) $849 billion

In 2004 . . .

+ Lost Wages

Direct Health Care Costs

E.) $849 billion

The Answer . . .

$576,000,000,00000

Direct Costs of MSK Disorders

What is the #1 MSK-Related Complaint?

In 2008, there were 62,000,000 adults who complained of back pain.

The BACK!

39,000,000 adults complain of knee pain/symptoms

The Knee also Generates Many MSK-Related Complaints

Reported that they had difficulty performing routine daily activities without assistance, due to their musculoskeletal complaints.

17,000,000 Adults over18 Years of Age . . .

Assistance

Needed

What is the #1 complication of the “treatment” of MSK

disorders?

RECURRRANCE of the

same condition

#1 Complication of MSK Disorders:

Usually offers temporary relief

Just “buys time” until surgery is required

Is extremely expensive & time consuming

Non-Surgical MSK Treatment

Also an expensive option

Typically, involves a radical surgery

Lengthy recovery & convalescence

Lots of potential risks and complications

Surgical Treatment of MSK Disorders

What is the long term success rate of: Back surgery? Hip replacement?

But the story continues . . .

In 10-15 years

it has to be repeated!

Knee replacement?

Why has the medical community failed?

To answer this question,

we have to ask another question:

How Do We Break This Vicious Cycle??

MSK Symptom

“Conservative Care”

Temporary Relief

Recurrence of MSK

Symptom

More Conservative

Care

No Relief

“Conservative Care” Cycle

Chronic MSK

Symptom

“Surgical Care”

Temporary Relief

Recurrence of MSK

Symptom

Revision Surgery

“Surgical Care” Cycle

That’s because the general

medical community has

rather than . . .

They are focused on the treatment of the

symptoms

…elimination of the underlying cause!

Typically, more expensive than the primary surgery

Procedures take longer, more invasive Subject to higher complication rates Involves a longer recovery period

Cost of Revision Surgery

Indirect Costs of MSK Disorders

A 2008 study analyzed the number of adult patients with back pain and how many days of work were lost:

There were a total of 671.1 million days in bed due to back pain.

385 million work days lost.

50% of the participants said their back pain led to complete inactivity.

Playing with your children and/or grandchildren.

Participation in the activities you love

Being singled out as a child because you “lack athletic ability”

Psychological impact

Quality of Life CostsYou Can’t Put A Price Tag On . . .

MSK Disorders Lead to a Sedentary Lifestyle, then Secondary Problems

People with MSK disorders

are punished for being active.

Increased

activity leads to increased pain.

So they decrease

their activity level.Less

activity leads to decrease

d metaboli

sm.

Decreased

metabolism leads

to increase

d weight.

Obesity leads to: Diabetes Hypertension Coronary artery

disease Certain forms of

cancer

Overweight - Obesity

There are no cures but the #1 recommendations for all patients with these diseases is to…

Costs Associated With

Diabetes: $245 BILLION

Hypertension: $55 BILLION

Coronary artery disease:

$108 BILLION

Obesity $210 BILLION

Walk/Exercise!

It’s time to: Get To The Root Of The Problem & Look At The

Foundation Of The Human Body . . .

The Foot!

How many clinicians who examine patients with chronic neck, back, hip or knee pain…

…get their patient off the exam table to evaluate the alignment/misalignment of their feet?

We Need to Look Closer!

The talotarsal joint is the foundational joint of the up-right human body.

“Foundational Joint” of the Body

The alignment or misalignment of the TTJ dictates the alignment or misalignment of the

Ankle Knee Hip

Talotarsal Joint (TTJ) ALIGNMENT

Pelvis Spine Neck

Ankle bone displacement leads to

a misaligned hindfoot.

Foundation of the body is altered!

Options are: Arch supports Reconstructive hindfoot surgery Minimally invasive, extra-osseous

stabilization

Depends on the severity of the TTJD and co-existing deformities.

How can you realign the TTJ?

Arch supports cannot

realign the hindfoot

joints/bones.

Is this really necessary?

Ouch!

There has to be a better option!

Minimally invasive, extra-osseous stabilization

is a titanium stent that is placed into a naturally occurring space between the ankle and heel bones.

Instantly, the ankle bone is realigned and stabilized while allowing normal hindfoot joint range of motion.

Quick facts:• More than 36,000 devices used• 10 years of clinical use• Used by foot surgeons in more than 40 countries• Pediatric and adult indications• Greatest success rate of any EOTTS stent• Backed by scientific research/evidenced based

Arch support vs HyProCure®

Patient standing on their custom-molded arch support. No Correction/realignment.

Patient standing on their foot after HyProCure®. Notice the correction/realignment.

Which foot has been HyProCured?

Economic burden of MSK disease continues to grow at an enormous pace.

Misaligned feet could be theunderlying cause / missing piece to the puzzle.

We need to get involved in research to prove that we can make a positive difference.

ConclusionBEFORE After

HyProCure

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Thank You!