Sometimes, it’s good to stop and see how far you have come. This week, I dedicate my post to all those who have supported me as I relentlessly climb the ever changing path towards my goals. I want to be that person for others. Pay it forward @PT_Sam_I_Am@FZumbusch
Have U ever had a pt challenge U 2 come up w/an entire POC in order 2 make sure they’re getting the most out of their therapy? I was challenged today&now I challenge all U 2 take evidence-based clinical expertise w/pt perspective&create the best PT POC 4 your pt! #PTchallenge
Eval’d a pt today w/ DDx of abdominal hernia. She’s had prior PT w/little results. Looking to prepare for surgery. She presented w/mild diastasis recti, abdominal doming, strong hip stabilization, good muscle coordination & expressed lack of confidence.Think PT can help?#YES
Dyspareunia or pain with intercourse. Insurance in California currently does not cover this as something necessary for daily life. Let’s take a vote and see if you feel this is a diagnosis that insurance should pay for. All those in favor? #Dyspareuniaisadiagnosis#pelvichealthPT
Had to write a “dear john” email to a patient the other day. They had reached most of their PT goals but had not made any progress with symptoms management or made any gains in QOL due to non-neuromuscular reasons. How would you approach talking to this patient? #knowyourlimits
Initial Eval comes in with R shoulder pain, PD, and 3 previous surgeries on L shoulder. Found +apprehension, +Lift off, -ULNTT 1, +Full Can, +Tyler Test, +Hawkins Kennedy. Post. Cuff is tight, Subscap is weak, but what other factors play a role and why? #ClinicalReasoning
👩🏻 has a CC of Vulvodynia, now add in a PMH of osteosarcoma, BHA, radiation/chemo all at the age of 10. Seeing her now in her mid-50s. What do you think is affected? #PelvicFloorPT#kegelsfordays#itsapuzzle
It amazes me when patients become not only ADVOCATEs for themselves but also for others. What better way to #SpreadTheWord that ENDOMETRIOSIS can affect 1 in 10 females! Learn more from this wonderful patient advocate @BadPeriods#PelvicFloorPT!
1st time ACTIVE mom is 29wks pregnant w/twins, who recently had pre-term contractions, mild discharge, nausea w/ reclining/mod supine position & is put on modified bed rest. Originally seeing her 4 LBP. How would U approach her change in status? #twinsaretough! #MotivatetheMomma!
Just talked w/my dad about how PTs can help w/pelvic floor dysfunctions. He replies w/ “I had no idea!”
It’s ⏲ 2 spread the word! PTs can help manage pts w/uriniary or fecal incontinence, sexual dysfunction, pelvic pain,& so much more! #SpreadTheWord#pelvicfloorPT#wecanhelp!
Have you often found yourself doing the potty dance? Urinary incontinence and urgency is an issue for many. Luckily, a pelvic floor PT can help with that!
Try:
1. Stop and breathe
2. Diaphragmatically Breathe
3. Kegels
4. Calmly walk to the restroom
That’s it! You can hold it!
A 5m neuro screen can help to Dx if a neoplasm is present. Look for 🚩’s , monitor pts, understand prognosis & know that rehab is beneficial! Remember, there is a HUGE emotional toll on all parties involved, Hugs are free! #pt546week12@juliehershberg @NoraDarakDPT @manjiridahdul
Did you know that a concussion is a traumatic brain injury? Often this occurs during contact sports. How to check for one, you ask? SCAT 3! Imaging is not needed unless further symptoms arise! Protect the noggin! #pt546week11@juliehershberg@manjiridahdul @NoraDarakDPT
HA is the 2nd most prevalent neurological disease. As a PT you want to rule out SNOOPPPP, 🚩s. Then 👀 @ Frequency, Duration, Location, Description, Intensity, Physical Activity, Nausea/Vomiting, Photophobia/phonophobia to classify! #pt546week10@juliehershberg @NoraDarakDPT
Tippy toe, tippy toe, tippy toe... Wee! Just tight calves or is it CP? 🧠Cortical, cerebellar, or in the BG?Better check T2 MRI for hyper intensity✨!Then refer out, but it’s ok to treat, and practice and practice to get those flat feet! #pt546week8@juliehershberg@bsargent_usc
AUTISM is a Zebra. Not a defective horse. It is very happy being a Zebra. To screen for these strips use M-CHAT-R between 16-30mon of age. Zebras play an important role in the Animal Kingdom too! #ASD#PT546Week8@juliehershberg @NoraDarakDPT @manjiridahdul@bsargent_usc
#SelfieoftheBrain! MRI T2 can be used to help diagnose Multiple Sclerosis along w/clinical findings! 🔑 features 2 👀 4: DIS= finding lesions in multiple areas in Space, and DIT= symtoms and lesions found over Time. @juliehershberg@manjiridahdul @NoraDarakDPT #PT546week7