My Medical Journey Began Here

  • There is hope for Sacroiliac (SI) Instability and its associated pathology.

    My Primary diagnosis code: 724.6-Disorders of the Sacrum Let me introduce the surgical procedure code 27216-50(bilateral) which states: Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum). IT WAS A MIRACLE on January 17, 2013 I had Minimally… [ Continue Here ]

    There is hope for Sacroiliac (SI) Instability and its associated pathology.

The Journey Starts Here for Proximal Tibiofibular Joint Pain (

Midwest Bone & Joint Center, Macon, MO

Diagnosing Lateral Knee Pain – Proximal / Superior Tibiofibular Joint

Now set free from my chronic condition with Proximal (Superior) Tibiofibular Posterior/Inferior Subluxation that had become a Chronic  Recurrent Proximal Tib-Fib Syndesmosis Dislocation.   HOW?  The Arthrex TightRope Dynamic Stabilization Surgery … [Continue Here...]

Dr. D. Christopher Main, DO Board Certified Orthopedic Surgeon, Midwest Bone & Joint  Center

Proximal Tibiofibular Joint Chronic Instability Posterior-Inferior Subluxation a/o Dislocation

In searching out all my surgical options to stabilize my chronic condition, I found Dr. D. Christopher Main through a search on his name from the Internet Scientific Publications Case Study he authored in 2009.  At the same time,  I also found a … [Continue Here...]

Arthrex TightRope Dynamic Stabilization of Fibula with Tibia Post Surgery X-ray

Proximal Tibiofibular Syndesmosis-Arthrex TightRope Dynamic Stabilization Surgery

The open reduction and internal fixation of my left proximal tibiofibular syndesmosis dislocation surgical CPT code 27832. The fixation consisted of using 2 Arthrex Knotless TightRopes to  dynamically stabilize the joint as well as a single … [Continue Here...]

Kim in wheelchair with  Jewels at 3 weeks post-op

Proximal Tibiofibular Syndesmosis – Arthrex TightRope Post Surgery Recovery Update #1

My post surgery recovery from the  knotless Arthrex TightRope Dynamic stabilization procedure on my Proximal Tibiofibular Dislocation/Syndesmosis from when I arrived back in Idaho starting on May 22nd, 2013.  Click here to see my prior blog of the … [Continue Here...]

Celebration Day! 7-4-13 Kim on Jewels at 7 weeks post op

Proximal Tibiofibular Syndesmosis-Arthrex TightRope Post Surgery Recovery Update #2

I am now stable and ready for full weight bearing on my left leg and can enjoy freedom again to ride my horse at the 6-week post surgical recovery point  from the open reduction and internal fixation of my left proximal tibiofibular syndesmosis … [Continue Here...]

At Dworshak Reservoir-going down boat ramp

Proximal Tibiofibular Syndesmosis – Arthrex TightRope Post Surgery Recovery Update #3

Pictured at the Beautiful Dworshak Reservoir-Camping, Boating, Swimming and a lot of walking up and down hills. A sense of great accomplishment at 10 weeks of recovery since my surgery. Now I will continue with my story starting at the 7 week post … [Continue Here...]

Proximal Tibiofibular Syndesmosis – Arthrex TightRope Post Surgery Recovery Update #4

9-2-13 - Labor Day - I certainly enjoyed the holiday and I went out and enjoyed a wonderful non-stop 2 hour  trail ride in the beautiful mountains only a few miles away with my sweet horse, "Jewels". It had been my first trail ride since before my SI … [Continue Here...]

Rt Tib-Fib Joint-Excessive Motion

Syndesmotic Instability-Proximal Tibiofibular (Tib Fib) Chronic Subluxation-High Rt Ankle Pain

This blog begins my current medical journey now regarding my Right Lower Leg Syndesmotic Instability, Chronic posterior subluxation of my right Proximal (Superior) Tibiofibular (Tib-Fib) joint with deep pain symptoms along the fibula bone of the high … [Continue Here...]

Dr. Main and Kim

Surgery-RT Leg Proximal & Distal Tib-Fib Joint Syndesmosis Arthrex TightRope Stabilization

Now my right lower leg is having its turn with these Surgical Procedures: Open Reconstruction of my right proximal tib-fib syndesmosis (CPT 27832), Open reduction and internal fixation of right distal tib-fib syndesmosis (CPT 27829), Common peroneal … [Continue Here...]

Easter Sunday 2

Proximal & Distal Tibiofibular (Tib-Fib) Joints RT Leg Post Surgery Recovery 2-4 weeks Update #1

4-4-14-What a whirlwind of a medical trip to Missouri and back these past 10 days. Now at a week past my right leg Proximal and Distal Tibiofibular (Tib-Fib) Arthrex Tightrope Dynamic Stabilization Surgery to end the instability of the joints, I was … [Continue Here...]

Horse Clinic

Proximal & Distal Tib-Fib Syndesmosis RT Leg Post Arthrex TightRope Surgery Recovery 5-9 weeks Update #2

Monday, April 28, 2014 - On this day, Dr. Main and I had my first Skype follow up appointment. He was pleased with my healing thus far and he decided to offer me to be his test case in allowing full weight bearing on my right leg as tolerated with … [Continue Here...]

Success in Single Leg Stance 

Proximal / Distal Tib-Fib Rt Leg Surgery Recovery – Major Improvement by 14 weeks Update #3

From my last blog post, I am now updating again my continued excellent recovery from my Proximal and Distal Arthrex TightRope Dynamic Syndesmosis Stabilization Surgery of my Fibula Bone by my orthopedic surgeon, Dr. Main of Midwest Bone and Joint … [Continue Here...]

Left Ankle Drill for Arthrex Fixation

Chronic Left High Ankle Sprain – Arthrex TightRope Surgery – Stabilize Distal Tib-Fib Syndesmosis

7-10-14 - Back to Bremerton to see Dr. Gent at Kitsap Foot and Ankle Clinic for my pre-surgical appointment.  My last tib-fib blog has the full discussion in more detail  regarding my left ankle leading up to this surgery.  Here I am pictured the … [Continue Here...]

7-16-14 Dr. Gent & Kim Post Op 5-days since LF Ankle Arthrex Surgery

Platelet Rich Plasma (PRP) Injections LF Ankle/5-day Post Op Arthrex Syndesmosis Fixation Surgery

  7-16-14 -Today I'm returning to Dr. Gent's office for my 5-day post surgical check  and a PRP (Platelet Rich Plasma) Injection after he performed my Arthrex TightRope Dynamic Stabilization of my distal tibiofibular (tib-fib) joint on my … [Continue Here...]

Celebrating Jewels' 10th Birthday with carrots

Arthrex TightRope Surgery Recovery – 4 week update Healing Left High Ankle Sprain/Distal Tib-Fib Instability

July 19th, 2014 - Glad to be back home after my ankle surgery and a long week of travel. My left ankle tibiofibular  joint (tib-fib) surgery corrected my chronic high ankle sprain/instability. The Arthrex TightRope Fixation Surgery is very minimally … [Continue Here...]

Return to Poulsbo, WA 9-13-14

Post High Ankle Sprain-Tib-Fib Surgery-Great to be Walking again 5-10 weeks recovery update

Aug. 14th, 2014 - A return to Dr. Gent's office for my 5th week post Arthrex TightRope Dynamic Stabilization Surgery on my left ankle to stabilize the chronic high ankle sprain and syndesmosis disruption of of distal tibiofibular joint. I have been … [Continue Here...]

Subtalar Joint Instability

sinus tarsi foot bones

Sinus Tarsi Syndrome-Ongoing Ankle Pain, Prior Arthroscopic Ankle Surgery

My current story on Subtalar Joint Instability starts with the diagnostic words, "Sinus Tarsi Syndrome" of my left ankle in March of 2013 given to me by my Champion Sports Medicine Physician, Dr. PZ … [Read More...]

Stabilizing Left Ankle Alignment & Pain Control with CAM Walking Boot

My Subtalar Joint Instability-Talus Impingement-Sinus Tarsi Syndrome

This blog is my chronological diagnostic process of my ankle/foot pain for Sinus Tarsi Syndrome and Talus Impingement and/or Subtalar Joint Instability/pathology and in the end seeking an answer with … [Read More...]

3T MRI Left Ankle Sag T2 Series 8 Image 17

Talus Fracture – Subtalar Joint Instability – HyProCure Surgical Candidate

Sept. 6th, 2013 - I met Dr. David Gent, DPM, ACFAS,  a Master Surgeon for the HyProCure -Extraosseous Talotarsal Stabilization Surgery with Kitsap Foot & Ankle Clinic,  Bremerton, WA (outside of … [Read More...]

My HyProCure Surgery

HyProCure Sizer 05 Instrument

My HyProCure Surgery – Subtalar Joint Stabilization

11-15-13 - This is my HyProCure Surgery story to reduce the chronic subluxing Talus bone, realign my Subtalar joint and stabilize my rear foot. I am pictured here at 5 hours after the surgery in my  … [Read More...]

HyProCure Surgical Incision with Stitches

My HyProCure Surgery- 5 day Post-Op with Dr. David Gent, DPM

11-20-13 - My trip back to Dr. Gent for my first post HyProCure Surgery appointment at 5 days since the surgery. See my prior blog for the surgical details.  Here are photos taken this day at his … [Read More...]

Dr. Gent-My HyProCure Surgeon

My HyProCure Surgery-Recovery Update thru 4 weeks/Surgical Followup-Dr. Gent

My surgical incision from my HyProCure Surgery - Subtalar Joint Stabilization done on 11-15-13 was well healed and my stitches were removed by Dr. PZ Pearce, Champion Sports Medicine in Spokane, WA  … [Read More...]

1-5-14 First Post-surgical ride on "Jewels"

My HyProCure Surgery-Recovery Update 5 thru 8 weeks-A Happy New Year Ride

Here on January 5th, 2014, I am pictured back in the saddle on my lovely mare "Jewels" to start my new year off on a good foot so to speak. Farther down the blog is a video of me riding.  I will step … [Read More...]

My Spiritual Journey

3-week postop celebration

Spiritual Journey: From Fear To Pro-Active Faith

My story starts around spring break of the year 1980 when I was 20 years old. I was a college student, working part-time, and socially living my life (see photos) at the Cosmopolitan Disco Dance … [Read More...]

Feeling Great! My last day in Florida by Navarre Beach

Here is my Pro-Active Faith now given to the internet world.

Because I have to travel such great distance in my car from rural Idaho to Spokane for the doctors of my choosing, I spend a lot of time singing and worshiping along the way with Positive Life Radio … [Read More...]


The information on this website is not intended to replace the advice or care from a healthcare provider. The information on this website is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments, or treatments. The information should NOT be used in place of visiting with your healthcare provider, nor should you disregard the advice of your healthcare provider because of any information you obtain on this website. Discuss any activities presented in this website with your healthcare provider before engaging in the activity.

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