|cue guitar riff|
- I'd say you can start out with this one and educate the public in general that discs dot not slip in and out
- they may or may not be symptomatic either
- even when they are symptomatic, we can rapidly change that, and if PT cannot, many self reduce or the fragments become reabsorbed on their own within months
- ahhh the runner's ITB stretch, my favorite thing to teach never
- not only can you not stretch a muscle, you cannot stretch fascia either
- muscle increases in length by growing new sarcomeres in series, this takes up to 6 weeks, and that is with continuous stretching, 20 min a day
- repeated movement, manual therapy, etc... all work, but the rapid changes are not mechanical, they're neurophysiologic
- non-compliant patients, let's face it, we all have them
- give someone a realistic HEP, none of this booklet of 30 exercises
- if someone is too busy to do 1-2 things repeatedly throughout the day, they're too busy to take it upon themselves to make a difference in their condition
- I have a love hate relationship with TDN, yes it's powerful reset, but it's invasive and that twitch response is really uncomfortable, and many times painful
- when I have built my entire approach on causing no pain or discomfort with any input, it becomes a quandary when to use it (other than, not at all in NY State)
- I can get the same rapid response from light IASTM, manipulation, or a simple repeated loading strategy that is hands off
- the caveat is that as inputs, sometimes my go-to treatments are not getting the desired response, but TDN does, why is that?
- not as invasive, therefore the expectation/placebo is not as strong
- another clinician may have used similar strategies that did not work, thus negating the introduction of a novel input
- look for a video next week where I demonstrate some TDN on a PT with chronic ulnar neuropathic pain, when IASTM, compression wrapping, and other resets failed to make a rapid improvement
- because who doesn't love a little Seinfeld and Plyometrics?
Thanks again to The Awesome PT for these memes, Check out his site, it's expanded from a parody site to much more!
Keeping it Eclectic....