Ashley Wallace

Dancer/choreographer, Pilates Instructor, & future DPT. LBC ↔️ NYC

[Ashley Wallace @ashwwallace]

First time I’ve perked up during this game was for #thetwilightzone commercial with @JordanPeele 🚪😬

[Ashley Wallace @ashwwallace]

Treating pt w TMD who c/o ⬆️ sxs upon waking. Asked if sleep was disrupted. Turns out she has nocturia & pain/burning near urethra yet all tests ➖for bacteria/STI. 🧐Tension-holding is common behavior w TMD & pelvic pain pts. New HEP: PFM relaxation w diaphragmatic breathing 🧘🏽‍♀️

[Ashley Wallace @ashwwallace]

Healthcare professionals! How do you find the time to take care of yourselves? What are strategies that have worked and how do you juggle everything without dropping something? Asking for a friend...🙋🏼‍♀️

[Ashley Wallace @ashwwallace]

Pt left pleased, so now it’s on me to keep this ball rolling!

[Ashley Wallace @ashwwallace]

Eval’d a pt today w/ signs & sxs consistent w/ plantar fasciitis. Sensed her initial skepticism w/ being seen by student. Built rapport over her ❤️ of Pilates, explained obj. findings & how they relate to sxs, & finished up w/ education & tx to offload tissues...

[Ashley Wallace @ashwwallace]

Got one of my patients thinking I’m a magician after doing a medial cuneiform whip to turn on his posterior tibialis. Now time to improve all of my manip skills!

[Ashley Wallace @ashwwallace]

Modified HEPs for 2 hypermobile pts for consistent DNF/multifidi & RC activation w/o agg’ing sxs.
Long story short:
🔸Forearm planks
Pt1: against wall
Pt2: on countertop
🔸Perturbations
Pt1: move ball w/ foot
Pt2: squeeze TB w/ 1 hand at a time
#differentstrokesfordifferentfolks

[Ashley Wallace @ashwwallace]

A haiku in celebration of the halfway halfway point of the final year of PT school:
Midterm CPI
Throat closing up, pools for eyes.
Breathe in kindness. Sigh.
#uscdpt #keepcalmandfighton ✌🏽

[Ashley Wallace @ashwwallace]

Participated in a musician screen yesterday where we looked at playing posture of pianists and classical guitar players. Saw some patterns pop up, but what postures & movement preferences are necessary? And what may be correlated with increased injury risk?

[Ashley Wallace @ashwwallace]

Reading #whyididntreport tweets & reflecting on the importance of open & compassionate communication with patients. As PTs, we are mandated reporters for abuse. What are the best ways to inform patients about how we can help, knowing that many aren’t ready to share their stories?

[Ashley Wallace @ashwwallace]

Learning new ways to help with core activation for pts with recruitment issues:
👀 at rib angle —> if narrow, rectus overuse may be issue. Tx with MFR to ant rib attachments
✔️ for Beighton score —> if hypermobile, try Q-ped to put hip flexors on slack & get serratus overflow

[Ashley Wallace @ashwwallace]

Eval’d a pt with left upper back pain with a confirmed right convex thoracic scoliosis. Rotation right = ⬆️ sxs only in standing (but good global motion at hips). Rotation left = ⬆️ sxs only in sitting (but hips remained neutral for both standing/sitting). Why would this be?

[Ashley Wallace @ashwwallace]

@PT_Sam_I_Am I had the same convo with my dad over the summer ☺️

[Ashley Wallace @ashwwallace]

Pt reports fatigue with bicycle crunches, pointing to his hip flexors. 🧐Changed the demand of the exercise by placing his legs on a bench ✔️then stability ball ✔️pt able to separate pelvic from lumbar rotation ✔️... mission control, we have oblique activation 🙌🏽

[Ashley Wallace @ashwwallace]

Tfw you wait til the end of the day to email HEPs and end up sending the wrong handout to one of your new patients 🤦🏼‍♀️ note to self: keep calm, take responsibility for your error, and always double check before hitting send in the future #allapologies #studentpt

[Ashley Wallace @ashwwallace]

@DPTCorinne Ermahgerd, STÜSSY!!! 😍

[Ashley Wallace @ashwwallace]

Great tip for the boards courtesy of @juliehershberg & @manjiridahdul

Wide or Wobbly 🚶🏽‍♀️
Wacky 🧠
Wet 🚽

Likely looking at Normal Pressure Hydrocephalus (NPH)

#selffive #PT546week13

[Ashley Wallace @ashwwallace]

Distinguishing btwn benign & malignant brain tumors can be tough w/o imaging since they all have similar signs/sxs 😬🤯

MRI to confirm lesion type/location & perform neuro screen to establish baseline sxs (🗝for monitoring changes)

#PT546Week12 #5minCNscreen @juliehershberg

[Ashley Wallace @ashwwallace]

82yo with ho MVA: cleared @ ER

3 mos later:
R-side HAs worse @ 🌜
Extinction, Pronator Drift, & Babinski present on L
Mild L hemiparesis

CT revealed dark crescent-shaped lesion 🌔

Chronic Subdural Hematoma treated surgically & fxn was restored!

#pt546week11 @manjiridahdul

[Ashley Wallace @ashwwallace]

10 yr h/o L sided, severe, pulsating HA with nausea, light/sound sensitivity, which worsened with activity. But new pattern emerged 5 months ago‼️ 🤔

Time to SNOOPPPP & investigate for potential secondary HA

@juliehershberg @manjiridahdul #pt546week10