42 y.o. pt s/p patellar repair (7 wk) however has had multiple DVTs. He was currently on blood thinners and cleared for therapy, however I was still nervous treating. It took effort to get over my paranoia and now patient’s progressing very well and walking 4 miles on weekends.
42 y.o. patient coming in s/p ACL tear. Although this is one of the most common orthopedic cases, pt. also had a patellar reconstruction, which increases his sensitivity to pain due to location of incision. I appreciated the diversity in his case & progressing him as tolerated
92 y.o. patient coming in with back pain, however upon eval she has no pain at all! After doing a full eval, it turns out she has balance issues but walks 4 miles a day.
46 y.o. w/ LBP and C/s pain after scoliosis corrective sx in 1967 w/ Harrington rods. Pt gets deep and radiating pain in (B) hips and arms.
Really appreciated how even with a complex presentation, you could still treat with simple stretches, postural edu, and strengthening.
58 y.o. w/ severe adhesive capsulitis couldn't place his hand behind his hip can now reach his low back! It's been rewarding to see him gain more motion with our treatment and therex. I look forward to seeing him return to his full function!
61 y.o. w/ L knee pain d/t fall. I find out she fell multiple times and doesn't recall any MOI. She says she sits for hours during night shift and takes sleep meds during the day. Causes? a) Meds affecting her balance? b) Significant muscle weakness? c) Vestibular deficits?
54 y.o. w/ bicep rupture 4 months ago. Has been progressing well, achieving full ROM and strength gains. However now presenting with numbness over thumb to mid forearm. Radial nerve entrapment likely but due to new insertion site of biceps or entrapment over Arcade of Froshe?
Vertical Talus Syndrome- Had my first peds pt on my schedule and I learned about this condition. Basically, the talus is oriented upward/downward, resulting in the row of bones in front to be positioned on top. This results in a rigid rocker bottom for the foot! @JasonCozby
Before performing a subscap STM, I told the pt. "you may feel some 'pinchy' discomfort, if it's too much just let me know". With surprise, he reported that usually after 5 yrs of practicing, PT's tend to lose their bedside manner and begin tx w/out warning the pt #ExplainB4UTreat
Neuropath wk 10! HEADACHES:
They ache. They're in the head. 3 classifications. 4 special tests. Migraines can have auras OR may not. Tension causes headaches. Cluster headaches are most painful. Can be caused by medication. Always screen for SNOOPPPP @juliehershberg#PT546week10
Week 9 Neuropath! Here are 9 things about Stroke:
Hemiparesis, Sensory Loss, Visual problems, Speech disturbances, inability to recognize body parts, memory problems, impaired ability to read, impaired ability to organize and reason, behavior changes!
#PT546week9@juliehershberg
Week 8 in Neuropath & here are EIGHT things about Cerebral Palsy: Spasticity in movements, involuntary movements, instability, impaired postural control, assistive devices later in life, brain lesions, eventual pain, fatigue! #PT546week8@juliehershberg@bsargent_usc
Week 7 in Neuropathology, and here are 7 different diagnoses MS can be confused with:
1) SCI 2) Stroke 3) Cerebellar Disorder 4) Vestibular disorders 5) CNS infections 6) Tumors 7) Demylinating disorders
Watch out for the key symptoms and time course
#PT546Week7@juliehershberg
It is week 6 in neuropathology, and Parkinson’s disease may show some slow moving symptoms but aerobic exercise will help keep things “Fluid” @NoraDarakDPT #PT546week6#FluidLikeWater#SlowAndSteadyWinsTheRace
It is week 5 in Neuropathology, and we’re learning about...
VertigoDisequilibriumVestibularDamageBenignParoxysmalPositionalVertigoMeniereDiseaseVestibularNeuronitisPerilymphaticFistulasLabyrinthineConcusions AND MORE. #DizzyYet? @PT546week5 @juliehershberg@LibbyKrauseDPT
It is week 4 in Neuropathology, and spinal cord injuries are no joke. You can have traumatic and non-traumatic onsets, with secondary complications! Whats not complicated is to treat them with a PT and not a LUMBARjack #HA-HA @manjiridahdul@juliehershberg#PT546week4
It is week 3 in Neuropathology, and with minimally sufficient confidence I am able to differentiate the differences between CNS, PNS, UMN, LMN, GBS, CIPD, and DN. #PT546Week3#MoreMentalGymnastics@juliehershberg