Greg Bogie

[Greg Bogie @greg_bogie]

Pt with bilateral post tib tendinipathy is slowly progressing in her rehab. Looking for new ways to slowly load the tissue and CI suggested alter G training with heel raises and SLB. Worked as an appropriate challenge! @JasonCozby

[Greg Bogie @greg_bogie]

Pt presents unresolving loss of TKE after ACLR. Consistently trying to address structures that may limit knee ext and CI suggested flossing of posterior structures. 5 deg ROM gained in 5 min! @JasonCozby

[Greg Bogie @greg_bogie]

80 yo female s/p patellar fracture + reconstruction in Jan 2019 still having decreased stability with gait. Working on prox strength and Incorporating alter g, which is helping. May just take longer to return to independent gait than I thought @JasonCozby

[Greg Bogie @greg_bogie]

31 yo male reports to PT with “stiffness” in his R arm sometimes going down to his ring finger which is sometimes uncomfortable. He also notes occasional cold sensation that correlates. Gr8 time for CCM, EAST, SCP, and AT! @JasonCozby

[Greg Bogie @greg_bogie]

Pt presents to PT with LBP. Hip flexor stretches reduce pain, however pt has new sx of occasional anterior thigh numbness and weakness. Other than L/S, what else might cause this? Possibly meralgia paresthetica! Adding it to the differential list @JasonCozby

[Greg Bogie @greg_bogie]

Patient has undergone multiple RCR with revisions and now is eager to get back to his life. Cannot emphasize enough that slow and steady wins the race! 🐢>🐇

[Greg Bogie @greg_bogie]

Patient has undergone multiple knee surgeries and has been coming in and out of PT. Whatever ROM we gain during his session, we lose by the time he comes beck for next follow up. Having a tough time hammering home importance of HEP without being too repetitive. @JasonCozby

[Greg Bogie @greg_bogie]

40 y.o. Male s/p multiple knee surgeries very inconsistent with PT. Pt has had multiple MUAs and is still struggling to maintain ROM gains from PT. Pt education about the importance of HEP and consistent work is crucial for pts, especially post-op @JasonCozby

[Greg Bogie @greg_bogie]

A patient comes into PT with diagnosis of PD. Their primary signs and sx include wide base "magnetic" gait, urinary incontinence, and cognitive dysfunction. Consider normal pressure hydrocephalus for a potential new diagnosis! #PT546week13 @juliehershberg

[Greg Bogie @greg_bogie]

@juliehershberg #PT546week12

[Greg Bogie @greg_bogie]

Patient presents with decreased L facial sensation, decreased L eye abd, decreased hearing on L, and uvula deviation to R

Unilateral hearing loss indicates PNS lesion, and we can localize lesion to L CN 5, 6, 8, 9

MRI confirms L pontomedullary meningioma affecting these CN's

[Greg Bogie @greg_bogie]

What will you see on a CT scan with concussion? NORMAL imaging- concussion is an alteration of brain metabolism and physiologic fxn WITHOUT structural damage. Use sideline assessment and careful neurological follow-up to diagnose.
#PT546week11
@juliehershberg @manjiridahdul

[Greg Bogie @greg_bogie]

@juliehershberg

[Greg Bogie @greg_bogie]

Migraines are the most important cause of debilitating headache. SNOOPPPP to differentiate from secondary.
Systemic signs
Neurologic signs
Older than 50 years
Onset abrupt
Posture/position changes
Precipitated by valsalva
Previous headache history
Papilledema
#PT546week10

[Greg Bogie @greg_bogie]

ACA or MCA? Look at UE/LE involvement. Not perfect, but MCA is more common and usually affects UE more than ACA lesion would. Ask for imaging and act FAST.
#PT546week9 @juliehershberg

[Greg Bogie @greg_bogie]

What to do if your child is toe-walking? It depends on the child's age and development. It is possible for a healthy chlld to be toe-walking up to 2 years! If this persists or you simply have other concerns, tell your child's health care provider! #PT546week8 @bsargent_usc

[Greg Bogie @greg_bogie]

T1 or T2? Bright fat and dark fluid in T1, switched in T2. CT is quick n cheap, but MRI is better for looking at soft tissues. Can get confusing with flair and other "filters," but important to know what you're looking at! #PT546week7 @juliehershberg

[Greg Bogie @greg_bogie]

TRAP- Tremor at rest, Rigidity, Akinesia/bradykinesia, Postural changes- key signs of typical PD. Early falls, autonomic dysfunction, UMN signs, early cognitive signs, and cognitive signs are NOT typical. #PT546week6 @juliehershberg @NoraDarakDPT

[Greg Bogie @greg_bogie]

Looking at central vs peripheral vestibular dysfunction: L facial paralysis, tinnitus, unilateral hearing loss, no visual deficits, no dysphagia, no dysarthria leads us to peripheral vestibular dysfunction #PT546week5 @LibbyKrauseDPT @juliehershberg

[Greg Bogie @greg_bogie]

#tbt to 1st year looking at dermatomes/myotomes to determine level of spinal cord lesion. It's important to be on the same page with other health care professionals to classify SCI so we got familiar with the ASIA classification #PT546week4 @juliehershberg @manjiridahdul