JOSON Orthopaedic & Spine Clinic

01/09/2025

A reminder to always do ankle pumping exercises especially if you're not able to walk normally or regularly

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The calf muscles—especially the soleus and gastrocnemius—function as a “second heart” by helping push blood from the legs back toward the heart.

When they contract, the veins are compressed, and one‑way valves ensure blood moves upward. This action supports venous return and prevents blood from pooling in the lower extremities.

If activity is limited, the calf pump weakens, increasing risks of DVT, varicose veins, and chronic venous issues.

Because the soleus muscle is well-suited for endurance, it is particularly effective at sustaining the pump over time.

Strengthening and stretching the calves—via exercises like calf raises and calf stretches—enhances their function, helping maintain healthy circulation, reduce blood pressure, and protect against clot formation.

23/08/2025

Dr. Joson gave a lecture today about Tokuhashi Scoring and Other Scoring Systems like Tomita Scoring at the Post Graduate Course of East Avenue Medical Center Department of Orthopaedics held at the Philippine Heart Center. He also met the man behind the Tomita Score and Total En Bloc Spondylectomy, Prof. Katsuro Tomita.

22/08/2025

Modern Technology has truly changed the way we treat our patients today. Minimally invasive surgery (MIS) has been the trend for most if not all surgeons. Though MIS has its advantages, Traditional open surgery remains a reliable approach in treating most of these conditions. The lesser cost of these procedures give patients more accessibility in receiving much-needed care.

07/07/2025

Posterior Spinal Stabilization for Acute Traumatic Spinal Cord Injury secondary to Cervical Fracture in Ankylosing Spondylolitis (AS) patient

Patients with AS have a significantly higher risk of spinal fractures (4x) compared to the general population. Fractures often result from low-energy mechanisms like falls from standing height, due to the altered biomechanics and reduced flexibility of the fused spine. Cervical spine fractures are the most common, particularly at the C5-C6 and C6-C7 levels. The fractures are frequently unstable and may extend through the entire width of the spine, increasing the risk of neurological compromise.

29/06/2025

Spinal Cord Injury can happen with our risky actions. It can lead to life altering scenarios that might end up in devastating consequences. Think before you act.

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09/06/2025

Legg–Calvé–Perthes disease (LCPD) is a childhood hip disorder initiated by a disruption of blood flow to the head of the femur. Due to the lack of blood flow, the bone dies (osteonecrosis or avascular necrosis) and stops growing. Over time, healing occurs by new blood vessels infiltrating the dead bone and removing the necrotic bone which leads to a loss of bone mass and a weakening of the femoral head.

06/06/2025

360 fusion for Neglected Cervical Spondyloptosis

14/03/2025

MARCH is Scoliosis Awareness Month!

Sharing Ms. Catriona Gray's vlog

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12/03/2025

A selective nerve root block (SNRB) injection or just nerve block injection is used to both diagnose and treat an inflamed spinal nerve. A medication, typically, an anesthetic or anesthetic with steroid is administered near the spinal nerve as it exits the intervertebral foramen (bony opening between adjacent vertebrae). The medication reduces inflammation and numbs the pain transmitted by the nerve. (https://www.spine-health.com/treatment/injections/selective-nerve-root-block-injections)

05/02/2025

Our clinic has been seeing mostly spine patients nowadays but some people are asking if we still see other Orthopaedic concerns so we'd like to share some Orthopaedic trauma procedures performed recently. We thank our patients for their trust and confidence. God bless always 🙏

28/01/2025

Posting this for public awareness. We're not against Chiropractic medicine as long as it's performed by legitimate practitioners. Unfortunately, the Philippines currently doesn't have a curriculum and licensing for Chiropractic Medicine and many manipulations are done by people without proper training. We urge the public to be cautious in dealing with "chiro" as it may have severe consequences.

12/12/2024

Congratulations to my Alma Mater! Consistency is key. I owe my ability to provide non-surgical management for my patients with the knowledge, skills and experiences I had as a Physical Therapist. I am a proud alumnus of the Pamantasan ng Lungsod ng Maynila College of Physical Therapy!

- Jesse Jerus Alem Gabrieli T. Joson, PTRP, MD, FPOA, FPSS, FPCS, MMHoA

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