Blog & Resources
Case Report: Physical therapy for ulnar neuropathy following MVA in a patient with HALO placement and C2 grade 3 fracture
The patient is an otherwise healthy 56 year old white male involved in an MVA resulting in loss of consciousness. The patient was admitted to a local trauma hospital where MRI and X ray imaging revealed a C2 grade 3 fracture and right ulnar dislocation. The patient...
Help! I’ve been rear-ended!
It was a typical Wednesday for us at the office. I was treating patients, my wife and office manager Tova was organizing the schedule, sending the requests for payment from the insurance company, and filing the referrals from other providers. The phone rang and Tova...
Say Hello to the Alter G
BELLAIRE PHYSICAL THERAPY ADDS THE ALTER G Hit the ground running... But don't hit the ground too hard... It's not too late to help your body defy gravity by walking or running on the AlterG Anti-Gravity Treadmill. With increased patient responsibility using...
Effects of Dry Needling on Shoulder, Arm, and Hand Pain Post CVA
Case Study: Effects of Dry Needling on Chronic Shoulder, Arm, and Hand Pain Post CVA JOSPT: A detailed description of the management of a unique clinical case, including relevant patient characteristics, examination, evaluation, diagnosis, and description of the...
A Lesson in Empathy
Standing on a ladder outside building a swing set, I was vaguely aware of the upturned piece of lumber on the ground beneath me. I quickly forgot myself in the overhead fastening of wood and leapt off of the ladder to admire my handiwork. As I felt the nail enter my...
Patient Testimonial- Back Pain
Patient Description: Early 70's working female with history of low back and hip pain for one year I can now turn over on my side without pain. Do you Know how long I haven't been able to do that? It's like a miracle- I have only come to therapy two times! - Eileen...
52 y/o active male, LBP, knee pain, parasthesia
Patient description: T12 fracture secondary to fall downstairs 2008, healed non-surgically - residual pain twisting limiting golf. Low back pain with end range lumbar extension, yoga participant 1-3 times a week. Started cycling on January, 30 - 70 miles per week,...
Patient Testimonial- Dry needling To Treat Shoulder Pain
Patient Description: A mid 30's active otherwise healthy female For years I have had a dull pain under my left shoulder blade and I lived with it. But after a red-eye flight recently, I woke up with a much more severe pain under that shoulder blade. It was bad enough...
Case Report: Shoulder pain differential diagnosis; infected axillary lymph nodes
Physical Therapist Diagnosis - Providing a dynamic diagnosis method Abstract In the age of science and evidence-based healthcare, it is surprising that patients continue to think of imaging as the gold standard for diagnosis. Magnetic Resonance Imaging (MRI) and X-Ray...
Understanding Your Diagnosis
How long will this take ? Please take a few minutes to read this article to better understand your diagnosis and prognosis. There is no method to identifying an exact length of time it will take to recover from an injury. In medicine we use something called "best...
Pain and Function; Can One Exist Without the Other?
What moves you? Muscles move you. The purpose of your muscles is to move your skeleton. Muscles accomplish movement by attaching to 2 bones, and usually, a joint or 2 exists between the two ends of the muscles. The Muscle anchors off one bone and pulls the other bone...
Have you been told by your doctor that you need surgery?
Have you been told by your doctor that you need surgery? If so, you're not alone. Millions of older Americans have surgery each year. For most surgeries, you will have time to find out about the operation, talk about other treatments with your surgeon (medical doctor...
BK or McD? PT or MD?
I can't comment on Burger King or McDonald's since I've never eaten at either, however I'd like to address a common question that comes my way. Who Should I See First? My Doctor or a PT? Patient Examination Many patients continue to ask if a visit to the internist is...
Why Do I Feel Sore After Therapy and the Next Day, but Better 2 Days Later?
Why Do I Feel Sore After Therapy and the Next Day but Better 2 days Later? Many patients have difficulty understanding why participating in therapy results in soreness which can be perceived as pain. This is one of the poorly understood concepts in rehab, which often...
Dry Needling is Effective for Upper-Quarter Myofascial Pain: Don’t believe me, read the research
Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis Abstract STUDY DESIGN: Systematic review and meta-analysis. BACKGROUND: Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called...
Does Dry Needling Hurt?
So What actually happens when you stick a needle in to a muscle? A study examining the response of the muscles after dry needling in mice identifies what actually happens. Some dry needling treatments involve repetitive and rapid needle insertions into myofascial...
Dry Needling Before Surgery Decreases Pain After Total Knee Replacement
Dry Needling Before Surgery Decreases Pain After Total Knee Replacement The aim of this study was to determine whether the dry needling of myofascial trigger points (MTrPs) is superior to placebo in the prevention of pain after total knee arthroplasty. Forty subjects...
HEP Scapular
The shoulder blade is the foundation support for the shoulder and proper movement is necessary to allow healthy pain free shoulder mobility. 1. Standing scapular retraction 2. Prone scapular retraction 3. Scapular clock 4. Thoracic extension mobilization
Was His Pain Cancer?
A Cancer Rehabilitation Story Providing a dynamic diagnosis method part 2 In this second newsletter I would like to follow up with the interesting case that I shared with you last week. As a reminder, a new patient called for an appointment due to the onset of...
Barefoot Running?
Barefoot versus shoe running: from the past to the present. Kaplan Y. Author information Abstract INTRODUCTION: Barefoot running is not a new concept, but relatively few people choose to engage in barefoot running on a regular basis. Despite the technological...
Runners Program
Sports Med. 2014 Nov 18. [Epub ahead of print] The Effect of Footwear on Running Performance and Running Economy in Distance Runners. Fuller JT1, Bellenger CR, Thewlis D, Tsiros MD, Buckley JD. Author information Abstract BACKGROUND: The effect of footwear on running...
Effect of dry needling of gluteal muscles on straight leg raise: a randomised, placebo controlled, double blind trial
Effect of Dry Needling of Gluteal Muscles on Straight Leg Raise: A Randomised, Placebo Controlled, Double-Blind Trial As a doctor of physical therapy it is very important to me that I support my choice interventions with available research. Perhaps you are familiar...
Efficacy of myofascial trigger point dry needling
Efficacy of myofascial trigger point dry needling in the prevention of pain after total knee arthroplasty: a randomized, double-blinded, placebo-controlled trial. We all know that physical therapy before a total knee replacement improves the rehab after the total knee...
Love is more than just a kiss: a neurobiological perspective on love and affection.
I recently took a course on the benefits of functional MRI and PET scans in rehabilitation. I began to think about how else PET and MRI can be used and I discovered this fascinating article on love and the effects it has on the brain. Neuroscience. 2012 Jan...
Early phenotypic differences between Parkinson’s disease patients with and without freezing of gait.
I recently spoke at a meeting for the Harris County Parkinsons Foundation and I discussed the science behind different phenotypes wihing Parkinsosns that explain why some people have freezing gait and oher do not. I also found it very interesting that there was a...
HEP Hip
Here are the hip exercises I would like you to begin with 1. Sidely Clams 2. Supine piriformis stretch 3. Supine bilateral bridging 4. Standing hamstring stair stretch
Axillary Lymph Node Infection
The patient presented with shoulder blade and arm pain, had already been to the ER and was dismissed with pain medication. During the 15 minute screen I recommended he call his MD and suggest AB for an infection that likely resulted in a clogged lymph node. Pt...
HEP Shoulder
There are 4 basic exercises to begin all shoulder strengthening programs. 1. Prone shoulder extension 2. Prone shoulder abduction below 90 deg with internal rotation 3. Sidely shoulder external rotation 4. Sidely shoulder flexion
HEP Knee
Here are the exercises I would like you to begin at home for your knee 1. Supine Quad set 2. Supine heel slides 3. supine SLR 4. Standing hamstring stretch 5. Prone quad stretch
HEP Low Back
Here are the exercises I would like you to begin for your back 1. Supine LE rotation 2. Supine Double knees to chest 3. Supine Bilateral bridging 4. Posterior tilting
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