Gisselle Escobar, SPT

USC Physical Therapy ‘19 ||

[Gisselle Escobar, SPT @GisselleSPT]

@ReidIcculus Correct. Meclizine is for motion sickness/dizziness. BPPV is positional therefore it won’t have much affect. If you were able to go to a balance & vestibular physical therapy clinic they would be able to better asses and treat you. Good luck!!

[Gisselle Escobar, SPT @GisselleSPT]

After the Epley Maneuver or BBQ Roll for BPPV make sure your pts follow their precautions for 2 days:
🚫keep head upright and avoid quick head movements
🚫do not tilt head up or backwards
🚫avoid sleeping on the involved side for 2 nights & with extra pillow

[Gisselle Escobar, SPT @GisselleSPT]

@ReidIcculus If possible, go to a physical therapist who specializes in the vestibular system👍🏽 They will be able to guide you through the Motion Sensitivity Quotient if it is needed

[Gisselle Escobar, SPT @GisselleSPT]

Patient reports dizziness only when on a boat and wants to go on a cruise trip soon🌊🛳🤕
What should we do? Train in Bertec to replicate symptoms and habituate to complex visual information!😎

[Gisselle Escobar, SPT @GisselleSPT]

The pt presented with facial pain and tension type headaches🤕
Manual therapy to C/S resolved headaches but facial pain remained unchanged. Until....👀
Blue light blocker lens were donned during the session🕶🤯
He states he “never felt so good”👍🏽

[Gisselle Escobar, SPT @GisselleSPT]

There’s no better feeling than when you re-evaluate your patient with Parkinson’s Disease + Cauda Equina and realize that he has significantly progressed!!✨ It’s been tough, but he has worked for it💪🏽

[Gisselle Escobar, SPT @GisselleSPT]

Pt with MS is having constant hip pain that eases with standing... but he has poor standing and walking balance❗️What would you work on first❓ Relieving his hip pain or balance⁉️🤯

[Gisselle Escobar, SPT @GisselleSPT]

Pt presents with progressive numbness in B hands & feet and weakness of UE & LE since 2009. Fast progessing since January!
After reading about potential side effects of a chemical he has been working with since 2009, he has them all⚠️☣️☠️
🚨Refer to Toxicologist🚨

[Gisselle Escobar, SPT @GisselleSPT]

Pt’s with temporomandibular disorder don’t always present with jaw pain or difficulties with eating!🤔
🔸 R lateral deviation with mouth opening
🔸 Palpation to cervical paraspinals and levator scapulae➡️referred pain to jaw
🔹Lets treat posture and c/s!

[Gisselle Escobar, SPT @GisselleSPT]

Cervicogenic dizziness is diagnosis of exclusion!
▪️Central disorder was r/o
▪️All balance subsystems improved per Computerized Dynamic Posturography
▫️Now I will focus on pt’s limited cervical ROM, increased cervical muscle tonicity, and impaired neck movement control

[Gisselle Escobar, SPT @GisselleSPT]

Pt reports progressive LE weakness which has caused major gait deviations & use of FWW. Similar incident 1yr ago but not as intense. Suspecting MS, but imaging shows no lesions to support dx. She has been to 4 neurologist and still waiting for an explanation...

[Gisselle Escobar, SPT @GisselleSPT]

Pt with 3rd incident of BPPV in 2 months: R posterior canalithiasis➡️R horizontal canalithiasis➡️R posterior canalithiasis. Epley Maneuver did not decrease current symptoms. Should habitation exercises be considered now vs. continued Epley Maneuver?

[Gisselle Escobar, SPT @GisselleSPT]

Hydrocephalus👩🏽‍🏫
▪️Inadequate resorption of CSF
▪️Characteristics include: Wide-based magnetic gait // Impaired cognition// Urinary incontinence
▪️Dx testing = Spinal tap
▪️Treatment = Shunting

I ❤️ learning!!🤓

#PT546week13

[Gisselle Escobar, SPT @GisselleSPT]

As a PT👩🏽‍⚕️it is important to keep a few things in mind when treating a pt with a brain tumor🧠
▪️Recognize red flags
▪️Neuro screen
▪️Monitor post-surgical/post-tx
▪️Prognosis: Recovery vs. Compensation
▪️Treat with hope & compassion✨

#PT546Week12

[Gisselle Escobar, SPT @GisselleSPT]

🚨Concussion Management in Sports🚨
What is the new/emerging research saying?🤕
➡️ Physical activity within 7 days vs. no activity may lead to decreased risk of PPCS symptoms at 28 days

#PT546week11 @juliehershberg

[Gisselle Escobar, SPT @GisselleSPT]

Are you experiencing a headache during finals/midterms week?
It could be a tension-type headache🤕 if:
🔺Duration: 30-7 days
🔺Location: bilateral
🔺Description: “band-like”

#PT546week10 @juliehershberg

[Gisselle Escobar, SPT @GisselleSPT]

After a stroke, the most rapid recovery happens in the first 3-6 months... However, everything is possible!💪🏽🧠
#PT546Week9

[Gisselle Escobar, SPT @GisselleSPT]

❗️VACCINES DO NOT CAUSE AUTISM❗️
In fact the Dr. who claimed this fact, Andrew Wakefield⤵️, has lost his license to practice medicine in the United Kingdom🚔

#PT546Week8 @bsargent_usc

[Gisselle Escobar, SPT @GisselleSPT]

Here’s a tip to help you distinguish a T1 vs. T2 MRI:
✏️ T2️⃣ MRI = bright H2️⃣0

#PT546Week7