Katrina Tooman, DPT

USC Doctor of Physical Therapy ▪️Class of 2020

[Katrina Tooman, DPT @ToomanDpt]

Treating a 68 y.o. F pt w/ hip OA aggregated w/ hip flx & IR. Hip traction in conjunction w/ lateral & posterior glides was successful in reducing her symptoms and improving her AROM! Updated HEP to include hip self lateral/posterior glides w/ band. She loved it!

[Katrina Tooman, DPT @ToomanDpt]

Treating a 72 y.o male w/ LBP. Utilized skills on trunk activation to get him to use his TrA and glutes when lifting objects off the floor. Pt reported decreased pain in low back after 10 reps. Yay! I just love it when I see such quick results! 😁

[Katrina Tooman, DPT @ToomanDpt]

28 y.o. F pt w/ PFP returned to PT after a 2 week vacation. No new symptoms reported. I was so excited to hear that she adhered to her HEP on the trip and had no pain w/ walking miles and going up/down stairs. #sohappy

[Katrina Tooman, DPT @ToomanDpt]

A heathy 32 y.o. pt 2 mon s/p pelvis bone marrow retraction w/ anxiety & distrust in the healthcare system. Decided to hold back on manual tx & to practice active listening instead. That made a 🌎 of difference in his attitude! Sometimes a listening ear is the best therapy! ❤️

[Katrina Tooman, DPT @ToomanDpt]

26 yo. active pt w/ L anterior knee pain when squatting. Palpation revealed several trigger points along L VL. For treatment, I had the pt perform squats while applying cupping along the affected area. On reassessment, pt had ⬇️ pain w/ squatting. #ptisfun #choosePT

[Katrina Tooman, DPT @ToomanDpt]

45 yo pt came in dizzy, nauseous, & w/ dx of BPPV. (-) positional testing, acute onset (1 wk ago) w/continuous symptoms ⬇️ in intensity, ⬆️ w/ R rot, & no nystagmus. Suspected something else.💡🔎🕵🏾‍♀️Sent her back to MD for additional testing. Pt then came back w/ dx of Meniere’s.

[Katrina Tooman, DPT @ToomanDpt]

Pt arrived 30 min late for 2 appt.’s & entirely missed another. I began to get frustrated w/ his behavior. Found out pt had had several divorces, used to be a millionaire but lost everything, had children who hated/resented him, & had given up on life.😳 #wow #nowords #humbled

[Katrina Tooman, DPT @ToomanDpt]

Treated a 31 y.o. active pt presenting w/ r-sided LBP. Pain aggravated w/ R SB, R rot, ext., & L SB. Intervention included STM, unilateral PAs w/out & w/ prone press ups. On reassessment, pain was gone & AROM ⬆️! Pt was delighted & I was encouraged to see such fast results!😁🙌🏽

[Katrina Tooman, DPT @ToomanDpt]

I treated an adventurous 5 y.o. boy 2 months s/p R tibial fx. Lessons learned: 1️⃣ Children are resilient, don’t underestimate their capabilities. 2️⃣ Be prepared to gain a few grey hairs when working w/ daring, creative, & energetic little boys! 😅 #Wanttoseeanothertrick #noty🙈

[Katrina Tooman, DPT @ToomanDpt]

Once they’re physically ready, don’t be afraid to challenge your patients w/ full body-dynamic and explosive exercises! Lets not only meet their expectations for returning to their PLOF, but let’s exceed those goals! 🙌🏽💪🏽 @JasonCozby

[Katrina Tooman, DPT @ToomanDpt]

Pt. w/ chronic LBP came in stating she’d given up hope of ever managing her pain. After performing some mvt analysis, my CI & I were able to guide her through specific exercises that drastically ⬇️ her symptoms! Now she’s excited about PT & can’t wait for her next appointment! 🤗

[Brad Stulberg @BStulberg]

A practical tip: I'd recommend finding people in your local community (not online, but your real, in-person community) who agree with this sentiment. Form what is basically a support group for living well amidst so much nonsense. It's much easier to do together than alone.

[Brad Stulberg @BStulberg]

Read more books.

https://t.co/8g2r3RO6lE

[Katrina Tooman, DPT @ToomanDpt]

If you’re thinking your pt might have Normal Pressure Hydrocephalus, check for these 3 🔑 signs:

1️⃣Wide based 🧲 gait
2️⃣Impaired 🤔
3️⃣Urinary Incontinence

Also, thank you to the BEST neuro team EVER for a WONDERFUL semester of learning and fun!✨ #USC546wk13 @juliehershberg

[Katrina Tooman, DPT @ToomanDpt]

Your pt is presenting w/ seizures, ⬆️HA, cognitive/personality changes, & focal neuro signs. Refer for imaging & perform a thorough CN screen! Results from these tests will help you rule in/out dx of tumor & distinguish what structures are affected. #USC546wk12 @juliehershberg

[Katrina Tooman, DPT @ToomanDpt]

Pt is 3 months post MVA & presenting w/ worsening R-sided HA, CL hemiparesis, UMN signs, & difficulty walking. Ruled out concussion & thinking some type of hematoma? Refer for CT imaging! If CT is dark w/🌙 shape, chronic subdural hematoma is to blame! #USC546Wk11 @manjiridahdul

[Katrina Tooman, DPT @ToomanDpt]

If you’re treating a pt with a HA/migraine, be sure to complete a thorough hx and clinical examination. Also, don’t forget to screen for those SNOOP^4 signs to detect any 🚩! If a 🚩 is found, stay calm, and refer out for additional expertise! 💼 #USC546Wk10 @juliehershberg

[Katrina Tooman, DPT @ToomanDpt]

Does your pt present with symptoms of stroke? If so, use diagnostic tests like MRI and CT scan to help you distinguish between an infarct or bleed. MRI T1 & CT will be dark for an infarct and bright for a bleed while MRI T2 will be bright for both! 🧠 #USC546wk9 @juliehershberg

[Katrina Tooman, DPT @ToomanDpt]

A parent expresses to you that they’re worried because their child is 2, toe walks, & doesn’t speak. Check for these🔑signs:
🔸Poor social interaction
🔹Delayed communication
🔸Intense focus/interest on objects
If all are present, ASD could be the dx. #USC546wk8 @juliehershberg

[Katrina Tooman, DPT @ToomanDpt]

What could it be? MS, ATM, or ADEM? 🤔 Look inside that detective 💼 of tools/clues. Pt. timeline, results from a good neuro screen, & diagnostic testing (MRI and CSF analysis) are key bits of information that we need to solve this interesting case!🕵🏾‍♀️ #USC546wk7 @juliehershberg