Ray Mellinger, SPT

DPT III student at USC, Class of 2019. “Nothing great was ever done without enthusiasm.” -Ralph Waldo Emerson

[Ray Mellinger, SPT @RJMDPT]

Pt with chronic CTJ and cervical pain/hypomobility has been coming in for a few weeks. Treatment thus far has consisted of CTJ rotational mobility exercises, C/S posture training, and scapular stabilization strengthening. Core strengthening is the next step. Any fav exercises?

[Ray Mellinger, SPT @RJMDPT]

Worked on cervical manipulations with my CI today. Through visualization techniques, discussions based on differences between subjects, and personally meaningful external cues my ability to perceive an end feel greatly improved. Add a quick thrust the results were immediate.🦴💥

[Ray Mellinger, SPT @RJMDPT]

27 y/o male presents to PT S/P L GHJ instability surgery 1 week. Pt reports 8 years of shoulder pain, popping, and snapping. Pt goes on mentioning having on/off sensory changes thru L side after accidents in 🏈 and 🏄 . Did the neuro cx make GHJ more at risk 🐥or🥚

[Ray Mellinger, SPT @RJMDPT]

64 y/o personal trainer comes in with chronic R shoulder pain after lifting. Patient thought she could “muscle her way out of pain.” Creating buy in for continued care revolved around using things she was comfortable with. Adding TRX straps to mid/low trap exercises=pain free fun

[Ray Mellinger, SPT @RJMDPT]

21 yo male with cerebral palsy and R hip bursitis. Patient has R sided hemiplegia that impacts all activities due flexor synergy pattern. Replicating his favorite athlete @DangeRussWilson with therband “drop backs” his dynamic knee valgus improved w/ less hip pain. #Touchdown🏈

[Ray Mellinger, SPT @RJMDPT]

72 y/o male 4 weeks post RTKA still lacks 5 deg terminal knee extension. Able to extend his knee full on sit to stand and with stairs but not on leg press and during manual treatment. Proximal hip flexor tightness was addressed and improved relative ant pelvic tilt=distal ROM

[Ray Mellinger, SPT @RJMDPT]

65 y/o patient present with chronic LBP with radiculopathy. Patient is apprehensive to move in any lumbar ROM due to fear avoidance of chronic issue. Used thoracic mobility exercises to improve neuromobility and pt reported less LBP. Think up and down the chain

[Ray Mellinger, SPT @RJMDPT]

74 y/o patient is 4 weeks post TKA. ROM and strength are improving but patient continues to be apprehensive with putting weigh through post op LE with activities such as sit to stand. Used wobble board and aired pad to force R weight shift w/ STS. Works like a charm!

[Ray Mellinger, SPT @RJMDPT]

19 y/o patient with CP coming in for one of their first visits. Patient had uncontrolled foot inversion during stances phases of gait leading to limited progression. Patient was given loading cues thru tibias during sit to stands w/ safe foot placement...carry over=improved gait

[Ray Mellinger, SPT @RJMDPT]

#PT546week13 my bad!

[Ray Mellinger, SPT @RJMDPT]

Use the 4-Pillars of Dementia Care to support the patient, your treatment, and don’t forget the caregivers! Patience will take you far when assisting those with dementia. @juliehershberg @LibbyKrauseDPT @manjiridahdul #pt546week12

[Ray Mellinger, SPT @RJMDPT]

20-30% of systemic cancers create metastatic neoplasms within the brain. Also a third of patients with a metastatic leison have no history of cancer! Get yourself checked out often!!! #PT546week12 @juliehershberg @LibbyKrauseDPT @manjiridahdul

[Ray Mellinger, SPT @RJMDPT]

@notjustmassages @manjiridahdul @juliehershberg @LibbyKrauseDPT I just saw you handle, that’s even better 😂😂😂😂

[Ray Mellinger, SPT @RJMDPT]

Keep your helmet low/ Protect the frontal lobe/ If they don’t know where they’re at/ Time to administer the SCAT! #pt546week11 @manjiridahdul @juliehershberg @LibbyKrauseDPT

[Ray Mellinger, SPT @RJMDPT]

#PT546week10 Physical therapy can help with your headaches! Next time you slouch and feel your headache come on it might be time to check out that referred pain! @juliehershberg @manjiridahdul @LibbyKrauseDPT

[StrengthCoachTherapy @TeddyWillsey]

People fear what they don’t understand. Explain pain. #solvePT

[Ray Mellinger, SPT @RJMDPT]

Your brain controls every aspect of your life. Strokes cause IMMEDIATE damage due to a lack of blood flow! Know the signs and symptoms and make sure to act fast to keep that blood pumping to your brain! @juliehershberg #PT546week9

[Ray Mellinger, SPT @RJMDPT]

Restricted, repetitive patterns or behavior without social-emotional reciprocity or deficits in developing relationships should steer towards Autism Spectrum Disorder! #SayIt5TimesFast @juliehershberg @LibbyKrauseDPT @manjiridahdul #PT546Week8

[Ray Mellinger, SPT @RJMDPT]

“If dysarthria presents while consuming alcohol....it’s not MS” 🍻🍻🍻 -@juliehershberg @LibbyKrauseDPT #WordsOfWisdom #PT546Week7

[Ray Mellinger, SPT @RJMDPT]

#PT546Week6 When administering the Retropulsion Test for diagnosing PD it’s best to stand behind the patient....@NoraDarakDPT @LibbyKrauseDPT @juliehershberg