A patient with lumbar radiculopathy is convinced they have piriformis sydrome.. How to explain the pathoanatomical nature of their condition without encouraging perseveration on their symptoms? @JasonCozby
Patient reports anterior lateral ankle pain after a bone bruise on the talus >1 year ago. Unable to establish a clear mechanical cause and the patient consistently demonstrates fear avoidant behaviors. How early is too early to initiate PNE?
15 year old female soccer player w/ patellar tendinopathy is unwilling to rest and is not seeing improvement. Any tips for coming to a compromise/education for patients who want to play through pain? @JasonCozby
@JasonCozby Young hockey player presents with bilateral patellofemoral pain when running and on exam demonstrates glaring tib post weakness. Peroneals are 5/5. Think of the motor pattern of skating and why this imbalance may not be ideal for a runner.
15 year old female soccer player was evaluated for a lateral ankle sprain, presenting with pain, stiffness, and instability. 6 weeks later she is playing in CIF championship @JasonCozby
@JasonCozby 54 y/o male w/ 3 separate instances of adductor/hip flexor strains has pain with lifting his legs in supine. Education on pre-activation of deep abdominals abolishes symptoms. Yay #corecontrol!
@JasonCozby 61 y/o w/ 2 mo. Hx of radiating LE pain which makes sleeping unbearable. 1st day of treatment including STM, Nerve sliders, and diaphragmatic breathing improved sleeping tolerance to 6 hours per night.
23 y/o female with 5 year history of bilateral knee pain. Physical exam reveals bilateral plantarflexion contractures, resulting in knee dominant strategy and quadriceps overuse in squats. Manual therapy interventions improve range and eliminate mvmt related symptoms.
Dementia can be defined from it’s Latin roots:
De: undoing
Mentis: of the mind
Imagine how scary this would be for patients, and use your PT skills to help these individuals maximize their potential and slow progression through a healthy lifestyle
#pt546week13@juliehershberg
Slim Pickens, a prominent rodeo clown and actor (seen here in Dr. Strangelove) was diagnosed too late. With today’s advancements he may have been able to receive treatment for his fatal brain tumor, which is why early diagnosis is key to save lives.
#PT546week12@juliehershberg
Standardized priorities in rock climbing:
1. Looking cool
2. Having fun
3. Safety
Considering a combined 60% of TBI’s result from falling (often for me) & being struck by objects (gravity + loose rock), I always put safety 1st & wear a helmet.
#pt546week11@manjiridahdul
If the DoggFather ever had a headache, it’d be important to rule out any red flags using the eponymous SNOOP^4 criteria. That way, one can be sure it ain’t nothing but a HA thang, baby. #PT546week10@juliehershberg
Hippocrates was the first to recognize strokes, and referred to the condition as “apoplexy” which translates to mean “struck down by violence.” We can help our patients rise up after these strokes through early identification and treatment.
#PT546week9@juliehershberg
Toe walking can take many forms in young children. Using the M-CHAT-R and Toe Walking Tool are valuable tools for determining if this is something a child might grow out of, or if they need intervention to gain their full function.
#PT546week8@juliehershberg@bsargent_usc
Vestibular Dysfunction is no fun,
Patients get the spins like they had too much rum.
It can happen any time
without reason or rhyme
So PTs must know the reposition..... maneuvers
#almostalimerick@LibbyKrauseDPT@juliehershberg#PT546week5