AJ Volk

USC DPT 2019

[U.S. Surgeon General @Surgeon_General]

My office is a strong supporter of alternatives to opioids such as #PhysicalTherapy which centers on movement, hands on care, and patient education. #BetterTogether @APTAcsm

[AJ Volk @AJVolk28]

#BellLetsTalk2019 Don’t be afraid to ask for help. #MentalHealthMatters

[Barack Obama @BarackObama]

As Bobby Kennedy taught us, the thing about hope is that it travels through space *and* time, first splashing against the rocks, but eventually breaking down the walls of cruelty and injustice. And if we do our best with the time we’re given, others will take hope in our example.

[AJ Volk @AJVolk28]

36 y.o M, s/p meniscectomy 2 y/o presenting with swelling, discolouration and hypersensitivity. CRPS? Pt demonstrated decreased knee flex through all phases of gait. PT facilitated crouched gait, as taught by Dr. Fisher and PT reverted to normal gait pattern #kneeflexionforthewin

[AJ Volk @AJVolk28]

Pt with 4 body part eval comes in with only 5 visits 😱 When asked, pt communicates she would like to prioritize hand symptoms 🤯 What to do? 😰 SPT used impairments based rationale to conduct objective and POC planning. 🙌🏻 Can’t go wrong with going back to the basics 👍🏼

[AJ Volk @AJVolk28]

Pt is a 62 y/o M presenting s/p complex tib-fib fx due to crush injury @ work and Spanish is his first language. Gait training required unique manual/external cues in order to adequately communicate proper utilization of DF for initial contact and toe off. 👣

[AJ Volk @AJVolk28]

56 y/o M c L medial knee pain during WB activities @ work. SPT suspects tear, discusses c CI whether to send him to MD for consult & surgery. But wait! In class it was mentioned that conservative therapy may now be a better option for older adults! Better get going on that POC!

[AJ Volk @AJVolk28]

58 y/o F with OA secondary to severe onset swelling in all 4 limbs, no pitting and spared hands/feet. Pt 9/10 irritability to touch and with any movement. Pt reports they have ruled out lymphadema, lipidema and lupus. CI not concerned.... 🛑 Call MD to address red flag concerns.

[AJ Volk @AJVolk28]

24 y/o F with a 5 yr hx of tension HA post horseback riding accident. Hypertonicity of B upper trap and levator scap. R suboccipital tightness and decrease AA rot R. Suboccipital release + AA rot mobs + postural Ed/strengthening = 1st HA free week in 5 years!

[AJ Volk @AJVolk28]

69 y/o F who has had a tough battle through her 2 year WC case, agitated when notified she is being treated by a student. Objective of Eval = pt rapport. Spent 45 min talking, let the pt guide the appt and choice to switch PT’s. Giving pt a voice and opinion created “by in.”

[AJ Volk @AJVolk28]

Pt is a 22 y/o M post patellar fx. Pt wants to get back to soccer, but relies on pure extension and passive mechanisms during shock absorption phases of running. What to do? Ballistic/plyo eccentric exercises, loading the knee in SL stance to build ecc strength and confidence.

[AJ Volk @AJVolk28]

Pt presents to the clinic 15 yrs post-stroke with “big toe pain.” Pt works to ⬇️ hypertonicity of the extensor hallucis and creates program strengthen global foot musculature to ⬇️ reliance on ext. Pt doubts tx even with pt-ed on ⬆️ global strength to ⬇️ pain. Advice?

[AJ Volk @AJVolk28]

21 y/o M with LBP and autism. Pt hypersensitive to touch & reluctant to manual tx. Extra time spent on pt ed & explanation for tx. Pt was encouraged to be an active participant in therapy, which built rapport. How do we best continue to create a + therapy environment for this pt?

[AJ Volk @AJVolk28]

16 weeks of neuropath, needless to say it was a blast 💥 MS, CVS, neoplasms too, we looked at imaging 📸 of the brain transverse, sagittal and cronal views! Time to put all our knowledge to the test, go to the clinic and wish each other all the best. #PT546week13 @juliehershberg

[AJ Volk @AJVolk28]

A quick 5️⃣ minute crainial nerve screen can not only identify a neoplasm, but it provides a “map” for the impact on the brainstem! #PT546Week12 @juliehershberg

[AJ Volk @AJVolk28]

Pediatric Concussions: Fact vs Fiction

Symptoms may change/progress overnight due to the high metabolic demand of the youth brain ✅ Fact

Waking your child up every 2 hours is crucial to monitor their concussion ❌ Fiction

@juliehershberg #PT546week11 #youthinsport

[AJ Volk @AJVolk28]

@juliehershberg 🎉🎉🎉

[AJ Volk @AJVolk28]

Family Hx of headache 👨‍👨‍👧‍👦
L side pain 👈🏽
Worse with activity 🏃🏽‍♀️
Nausea 🤢
= Migraine.

But wait... new symptoms⚠️

Pattern change 〽️
New neural symptoms 🧐
Hx of previous headache 🤯
+SNOOPPP 🎶
= Tumour

#PT546week10 @juliehershberg

[AJ Volk @AJVolk28]

Q: "What would happen if an elephant got cerebellar ataxia?"
A: "They would have trunkal ataxia!"
#nerddingoutonneuro @greg_bogie

[AJ Volk @AJVolk28]

You can use a brain stem map and your neuroanatomy knowledge to help you locate the vasculature affected in a stroke! #pt546week9 #everythingsokayonpjday @juliehershberg