 As compared to before his foot fracture, I assembled a team comprised of spine, foot, ankle, radiology, physical therapy, and movement disorder neurologic specialists to carefully examine and assess the president. After careful analysis of the patient's history, finding on detailed physical exam and review of radiologic imaging, the team concluded that much of his stiffness is, in fact, a result of his degenerative wear and tear osteoarthritic changes of his spine, moderate to severe,