Used to feel overwhelmed with shoulder evaluations going into 3rd year and seeing one on my schedule would make me anxious. Had two on my schedule today and both left feeling better and optimistic towards PT. Now I hope for shoulder evals when I look at my schedule 💪🏾
15 yo freshman pitcher presents with anterior shoulder discomfort from overuse in his first season pitching. Starting with neuro re-Ed for scapular stability and postural re-ed and manual to address rounded shoulders
Pt with B knee OA constant pain, worse with initial steps in the morning. He continues to present with quad and ITB tightness further limiting his patellar mobility. McConnell taped B patella medially to assist with patellar tracking. Pt reported dec in next day morning pain
47 yo M with constant HA, dizziness, c/s pain with referral to B upper scaps post assault in August. Gentle c/s mobs, PROM, STM, chin tucks ⬆️ sx. Current POC: postural re-ed, T/S mobs, STM: muscles of mastication, & ultrasound B UT/Levator and paraspinals.
38 yo male w SLAP tear in R shoulder, guarding, and highly irritably with PROM and isometrics. Used manual iso techniques from class to ⬇️ anterior humeral head translation and to retrain proprioceptive awareness. Pt was able to tolerate co-contraction into flex w ⬇️ pain
60 yo M w/ 3 FT rotator cuff tears presents with improvements in AROM this week. Pt was able to achieve full flex, abd, scap AROM in standing when last week he was unable to complete supine flex AAROM due to pain. Will progress with rotator cuff strengthening + CKC ex as pt tol
17 yo track runner with reoccurring hamstring strains, most likely due to poor glute activation and hamstring overuse. IE last Friday and he asked today if he could sprint in practice today. Any advice on pt ed for eager young athlete?
61 yo female present with possible CTS. Treated initially 2 weeks ago following previous Plan of Care with STM to flexors and manual stretches. Interested in what a specific sensory evaluation will reveal and if pt ed on splinting and tendon glides with have a positive impact
67 y/o female presenting with ⬇️ L shld AROM all directions and UT/Levator tightness due to compensation. Notes neck pain w L Rot and LSB. Ips down glides/Cont Up glides result in no improvement. MWM c/s snag into L Rot ⬇️ pt’s sx. Good to have diff tools to achieve same goal!
81 y/o male s/p R peroneal tendon repair x3, 4 mo ago, presenting with polyneuropathy in bilateral UE/LE and pain in dorsal surface of R foot. STM to address peroneal tone + nerve glides resulting in decrease in pain. Held off on exercise program. Pt Ed on nerve glide HEP
CNS Neoplasm Key Signs:
🧠 HA
🧠 Seizures
🧠 Focal Neuro Signs
🧠 Cognitive and Personality Changes
If these non-specific symptoms are present a CT/MRI can help confirm the diagnosis #PT546week12@juliehershberg@LibbyKrauseDPT
Should I be concerned w/ these HA sx?
🔸Systemic Sx or Secondary RF?
🔸Neurologic Signs or Sx?
🔸Onset (abrupt)?
🔸Older (> 50 yo)?
🔸Previous HA Hx?
🔸Postural, Positional?
🔸Precipitated by valsalva, exertion, etc?
🔸Papilledema? #PT546week10
Common misconception: Spontaneous recovery ONLY occurs in the first 3-6 months post stroke.
Continued recovery is possible in chronic stages with interventions targeting neuroplasticity 🧠 @juliehershberg#PT546week9
Risk Factors for ASD: (+) family history, certain medical conditions, prematurity/low birth weight, and prenatal factors.
⚠️Current research suggests vaccinations are NOT linked⚠️
@bsargent_usc@juliehershberg