Today's Quick Links come from In Touch PT, Popular Science, and Jeff Cubos.
Dr. Harrison Vaughn recently completed his 3 part case series on the difficult LE Sx. Again, I won't spoil it for you, but it was an interesting case and an interesting solution. My take, under the MDT system, it would be classified as a far lateral derangement, and end range was not being achieved with the other exercises or positions he tried. The solution was definitely at end range!
I saw this article in Popular Science last week and have always wondered this myself, having 3 girls under 6 years old. Why do girls throw like a girl? Sometimes, my kids end up throwing a ball backward over their head as their arm goes forward! No, they don't get it from me!
Dr. Jeff Cubos recently posted about a rut he is in. I have wondered this on occasion as I start to treat more active and better moving individuals than my typical mostly sedentary ortho/pain caseload. What percentage of ortho vs sports have true chronic pain states? For every +1 you get for a chronic pain case, you can have just as many -2's. Anyone that tells you they can treat all patients equally well is either lying or over confident. I love being proven wrong about a case, which will be the topic of next week's COTW! Good luck Jeff, we've all been there!
3 comments:
Thanks for the link E! I agree...must have been extremely lateral. Cert MDT in my clinic said that but just didn't go away with a typical approach for this (trial in regards to even how rare I would see it).
The treatment worked so definitely a learning experience for me
Why is your avatar me and my daughter every time you post? Lol... Anyway, thanks for the crazy end range tip. I don't know if I ever would have gone there, what made you do that to yourself?
Haha I do not know! I have noticed that before actually...quite weird.
Anyway, I decided to go into full flexion as walking and other extension based activities were just not doing it. I do prescribe supine bent knee rotations to my older crowd so startd doing that but pushed myself into as much flexion that was needed to still breathe. I rocked and just relaxed as it felt good, and got up to check on a patient on a bike and I stopped for a minute to realize the pan was gone....quite cool.
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