As a patient’s pain gets more complicated, so do their lives. The presentation of the patient is no longer just a simple acute injury that should go though the normal healing stages. A lot of times with acute injury, there is no story attached to the injury, so the healing does not get complicated. As the pain becomes more chronic, the source starts to become blurry. The longer the pain persists, the more confusion that happens, as the patient gets further away from and perhaps forgets the initial source.
In the manual therapy video below, NAIOMT faculty instructor Bill Temes, PT, MS, OCS, COMT, FAAOMPT works with the shoulder to restore range of motion.
Everyday, physical therapists are striving to be better at clinical decision making. But in patients with chronic neck pain, it can be challenging for therapists to select the right treatment at the correct time for optimum outcomes for the patient. Motor vehicle accident whiplash-associated disorders or chronic neck pain from other ‘traumas’ can be evaluated by selected manual techniques and evidence based questionnaires to select the patients best suited for consideration of a cervical facet injection (cRFN or cervical radiofrequency neurotomy). Earlier studies, have shown that paraspinal tenderness, positive mechanical exam of spine segment can be combined with > 50% relief of familiar pain symptoms with a medial branch block injection to the ‘culprit’ segment, to be significant indicators of a positive response to a subsequent cRFN. Smith et al. 2016 has now established that in WAD Grade II patients, low scores on the pain catastrophization scale and neck disability scale, show a higher likelihood of success to the cRFN versus those patients who had higher pain focus, a tendency to catastrophize their condition and rated their level of function lower.
One main goal in physical therapy is to help keep people moving for the purpose of health and being able to participate in a full life. One way that people are able to accomplish this goal is through yoga. It incorporates movement and strengthen and balance.
As a therapist, I take a lot of ownership in my patients and their outcomes. I feel great responsibility in seeing they get the best care that I can give them. If they are not responding to my care, then I work just as hard to get them where they need to be even if it is a competitor. In time, the favor will be returned.
Did you know more than one third of women in the United States suffer from a pelvic floor disorder, which can include urinary incontinence, painful sex, bowel symptoms and pelvic pain? But unfortunately a great number accept their symptoms as a normal consequence of childbirth or aging. Worse yet, some care providers even them shrug off as such. And while pelvic floor disorders are all too common, they are not normal. That's why Jessica McKinney co-instructor of our new Manual Therapy and Pregnancy course, founded Share Mayflowers, a public health and awareness campaign focused primarily on the under-discussed topics of female pelvic and perinatal health.