12 year-old dancer post sesamoiditis: how to keep unloading the area without stopping her from dancing? Improvised foam padding with center cut-out to decrease floor impact... and did the same thing on the other side, just for balance 🧚♀️🧚♀️🧚♀️@JasonCozby#PT632
PT. S/p meniscectomy continued to have sharp knee pain during terminal stance/pre-swing of gait. Worked on great toe extension and knee pain went away. Now I’m a true believer of ankle/foot assessment for patients with knee pain! @JasonCozby
Pt. scored 40% accuracy with left/right discrimination. 💡 🤔 Starting with GMI. ☑️ lateraling training ☑️ explicit motor imagery ☑️ mirror therapy. Remember to progress in order!
Patient with persistent pain and high pain catastrophying score has a two-point discrimination of 10 cm. Sensory integration decreased symptoms from 9/10 to 7/10. Time to #ExplainPain
Patient with LBP presenting with PD-like symptoms was suggested to get a third epidural (despite the previous two providing no pain relief) instead of evaluation by a movement disorder specialist. Decided to advocate and continue pushing for a second opinion. #ToBeContinued
Patient with MRI-confirmed cervical radiculopathy had numbness/tingling on last 2 digits at initial eval but first 3 digits after 2 treatments. 🧐🧐🧐 time to rule in/out other impingement sites! 💡💡💡Cyriax relief WORKED like a miracle. #TOS is not so uncommon after all.
Two 65 y.o females referred for vertigo last week and BPPV tests were both negative. After thorough review of PMH and medication list, turns out one has hx of a-fib (cardiovascular - related dizziness??) and the other is taking Meclizine (Labyrinthitis??)
3 steps of MiniCog: 1️⃣have the patient repeat 3 words after you. 2️⃣draw a clock and set the time at 10:50 3️⃣ recall the 3 words in step 1. And you are done! ✅ #PT546week13@juliehershberg And the gif is dedicated to our dearest @LibbyKrauseDPT. Miss you already!
TIL that brain neoplasm can present with either UMN or LMN signs! Don’t forget to perform a thorough 🧠 neuro screen even if your patient is coming in for headache. You might have caught an early meningioma! #PT546Week12@juliehershberg
Mood swings? Difficulty concentrating? Changes in personality? It may be due to CTE (chronic traumatic encephalopathy) caused by repetitive brain trauma. To prevent it? Wear your helmet (or wrap your head like Joey) ALL the time! @juliehershberg#pt546week11
#PT546week10 DID YOU KNOW that according to WHO, migraine is in the Top 10 most disabling diseases on the planet 🌏! If you are experiencing pulsating, one-sided headache that lasts >4 hours that’s made worse by physical activity, talk to your PT or primary! @juliehershberg
Send this picture to 3 people you care about today. It may save their lives! Remember to ACT FAST when you suspect a stroke. TIME IS LIFE! @juliehershberg#PT546Week9#ActFAST
‘Should I be worried if my child walk on toes?’ - YES if you see the following: favoring of one side, inability to walk flat footed, they are avoiding eye contact with you. But NOT to worry if they are < 2y.o., or when they are wearing your heels! #PT546week8@juliehershberg
Brain imaging rhyme:
If the skull hugs the brain, 🧠
you are looking at CT Scan.
Ventricles are dark and fat is bright, 💡
it is T1 MRI.
CSF is lit and lesions too,
it is most likely T2! ✌️@manjiridahdul @NoraDarakDPT @juliehershberg#PT546Week7
Parkinsonism 🤓 is not an ideology, but a cluster of movement disorders. Questions to ask during differential diagnosis: is it symmetrical or asymmetrical? 🌗Resting tremor or action tremor? 🧐Response to L-dopa? 👩🏻⚕️ If still unsure, get an MRI! #PT546Week6@juliehershberg
Patient💆🏻♀️: I feel dizzy. Me👩🏻⚕️: (oh no, is it BPPV? UVH? BVH? Central? Or maybe non-vestibular?) Let’s see...what were you doing when you feel that? Patient🤷🏼♀️: Just 32 fouetté #pt546week5@LibbyKrauseDPT@juliehershberg@manjiridahdul
Notice the red tint? It’s a #BloodMoon caused by Earth casting its shadow on the Moon during the lunar eclipse that’s happening now. For the U.S., this eclipse is best viewed on the West Coast, or on our live stream here: https://t.co/r6X6SoMfLn #SuperBlueBloodMoon