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Untold Physio Stories - A 13% Chance It Happens Every Time Part 2 - themanualtherapist.com



In this episode, Erson and Andrew update more about "SIJ" Dysfunction. That diagnosis that happens A LOT less than you're lead to believe. Sometimes, that bias gives you clinical blinders. However, in both recent cases, the right combination of education, exercise, and stabilization were discovered in a few visits.
 

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The 6 Most Dangerous Words to Use with Evidence Based Medicine - themanualtherapist.com


It is becoming quite common to hear the phrase “There is no evidence to suggest” when referring to many controversial topics within the field of medicine.

I have done it, I have heard plenty of others do it, and I am sure we will all hear it from time and time again. The problem with this phrase is that it is very ambiguous and does not tell us the whole story.
EBM Six Most Dangerous Words by Cameron Faller


When making this statement, many individuals may interpret the findings completely wrong leading to poor or consequential decisions.

Most of the research developed and reported comes with an inherent amount of uncertainty. By making this statement, you are essentially trying to mask that uncertainty with reports that the objective data is fully conclusive.

Clinical decision making not only entails the best available evidence, but also depends on our clinical expertise and patient values. When data is inconclusive, do not be quick to undervalue the other two realms as many clinical decisions are made daily without high quality evidence.

If data is truly inconclusive, consider these four alternate statements to use that best describe the actual results of the evidence.

👉Scientific evidence is inconclusive, and we don’t know what is best

👉Scientific evidence is inconclusive, but my experience or other knowledge suggests ‘X’

👉This has been proven to have no benefit

👉This is a close call, with risks exceeding benefits for some patients but not for others.

👬Know someone who might find this helpful? Tag or share!.

“The Devil is in the Details”

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Nationnal Concussion Awareness Day - themanualtherapist.com


🧠Here are a few facts that may be of interest:
  • Only 10% of concussions result in a loss of consciousness
  • There are 4 clinical domains of concussion symptoms- cognitive, physical, emotional and sleep. 
    • Learn to identify the symptoms so that you can detect a concussion.
  • You do not need to get hit in the head to sustain a concussion. 
    • A blow to the body or indirect Mechanisms such as a blast and can cause concussion
  • It’s not just a sports injury, the most common cause is falls.
  • A MRI does not show a concussion because it is a functional injury.
  • If a concussion is suspected get into see a qualified healthcare professional ASAP. Early identification and education reduces likelihood of prolonged symptoms.
  • Unsure if it is a concussion? When in doubt, error on the side of caution until you know otherwise
  • Do nothing, and rest in a dark room is no longer recommended.
    • What is? 24 to 48 hours of rest followed by a guided gradual return to physical and cognitive activity.
  • Symptoms will resolve before the brain has fully healed
    • This is important when it comes to returning to sport. 
    • Symptom resolution is most commonly between 7 to 10 days but healing of the brain is closer to 3 to 4 weeks. 
    • It is important an athlete does not return to full contact sport before the brain has fully healed.
  • If systems persist longer than 10 days begin targeted treatment
Make sure to share and to follow Dr. Molly Parker on instagram for more concussion information and help with concussion management!
Keeping it Eclectic...

Untold Physio Stories - Best PT Session EVER! - themanualtherapist.com

In this episode, Andrew catches up with the case discussed in our previous episode. The patient was very stressed out and he suggested a treatment during a particular session which really turned the tide in her recovery. Erson called it a stroke of genius. What do you think?

      

Untold Physio Stories is sponsored by


EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - find out more at https://edgehealthandtech.com


Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at https://insiders.modernmanualtherapy.com


Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers


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Can Chiropractic Care Help Cervicogenic Dizziness? - themanualtherapist.com


A 2019 online survey by Vindengi et al entitled, “Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views” was recently published. 

One reason we decided to examine this paper was to:

  1. not only to confirm that manual professionals (such as chiropractors) do successfully treat neck pain and dizziness, but also
  2. to determine how often manual professionals (such as chiropractors) see & treat patients with neck pain and dizziness. 

This is important to the physical therapy professionals, especially ones who treat dizziness (i.e. vestibular therapists) for one major reason:

  1. If these patients are seeking out (usually on their own and not referred) to chiropractors for treatment of neck pain and dizziness, why aren’t they seeking out the practitioners who treat dizziness/vertigo/balance dysfunction in the elderly mostly or could go as far as sole clientele — which are our geriatric and vestibular physical therapists!

Cervicogenic Dizziness, Cervical Vertigo, Neck Dizziness

So to answer our first two questions above, here are direct conclusions from the paper:

Reason #1: not only to confirm that manual professionals (such as chiropractors) do successfully treat neck pain and dizziness, but also

  • Most chiropractors reported moderately positive responses (on a scale from no response to excellent response) to chiropractic treatments for dizziness in older adult patients with neck pain.

Reason #2: to determine how often manual professionals (such as chiropractors) see & treat patients with neck pain and dizziness. 

  • Respondents reported that over 44% of their older adult patients with neck pain were at risk of falls, and over one-quarter of them suffered from cervicogenic dizziness.

There you go.  Chiropractors do see of course elderly patients with neck pain and dizziness and get positive results in their treatments.  Also, interesting that they mention ~25% of them actually had Cervicogenic Dizziness.

I would imagine this is very similar to a PT outpatient office but two questions to mind:

  1. How many of our outpatient, orthopedic physical therapists are confident to treat dizziness as well?
  2. How many of our vestibular/neuro/geriatric physical therapy clinics are confident to treat neck pain as well?

I think these are very reasonable questions and unfortunately, I do not know the answer.

One of our major goals is to merge our profession to do just as this paper proved—a healthcare practitioner (in this case=chiropractors) can treat patients together with neck pain and dizziness.

We do think formal training in both can help and considering neither the big manual therapy training or big vestibular training focus on Cervicogenic Dizziness, we helped fill this gap with our course.


You can learn more about the screening and treatment process of Cervicogenic Dizzinesss through Integrative Clinical Concepts, where the authors (husband–a manual therapist a wife—a vestibular specialist), teach a very unique course combining both the theory and practice of vestibular and manual principles in their 2-day course.  Pertinent to this blog post, the 2nd day includes the “Physio Blend”, a multi-faceted physiotherapist approach to the management of Cervicogenic Dizziness, which includes treatments of the articular and non-articular system of manual therapy and the most updated sensorimotor exercise regimen.

If you would like to host a course for your staff (either a vestibular, neuro, sports or ortho clinic), please do not hesitate to contact me at harrisonvaughanpt@gmail.com for more information.

AUTHORS

Harrison N. Vaughan, PT, DPT, OCS, Dip. Osteopracic, FAAOMPT

Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts

Danielle N. Vaughan, PT, DPT, Vestibular Specialist



Instructor: Cervicogenic Dizziness for Integrative Clinical Concepts
5 Ways to Modify an Exercise Around Pain - themanualtherapist.com


Strength training and loaded exercises have been known to improve resilience and tolerance to the many tissues in our body. When an exercise becomes painful, an individual’s intuitions might say to avoid the exercise because it is dangerous.


5 Ways to Modify an Exercise Around Pain by Cameron Faller
Most likely, that is not the case and there are several ways someone can modify the same exercise around pain.

👉Reduce the Weight - Simply dropping the weight lessens the load tolerance on the painful tissues and will allow you to continue performing the same exercise gradually building the weight back up.

👉Reduce the Repetitions - Performing less repetitions also lessens the load for a temporary time when you can either increase the weight or begin to gradually increase the repetitions as your body recovers.

👉Modify Range of Motion - This may be a temporary solution to still allow you to perform the same exercise without fluctuating the weight or repetitions.

👉Modify Posture/Position - Simple postural changes may be able to disperse the stress away from painful tissues. This is considered movement exploration where people may be able to make one simple change such as pointing toes out, screwing the feet in the ground, putting your shoulders in front of a barbell, etc. This may make all the difference between a structurally strong movement pattern and a painful one.

👉Perform a Preparatory Stretch/Movement - When performing more dynamic movements, simply breaking the movement down into one of its parts to prepare the body for may result in a more pain free exercise.

When recovering from an injury, pain does not need to be completely avoided but there are several ways that may lessen those symptoms to allow the body to recover better. There is no such thing as No Pain; No Gain but before ditching an important dynamic loaded exercise, make sure you go through these variations to optimize your recovery.

👬Know someone who might find this helpful? Tag or Share!


“Movement is Medicine”


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Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. 
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  • over 600 videos - hundreds of techniques and more! 
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HUGE Labor Day Week Sale on EDGE Mobility System and MMT Insiders!

 

I hope everyone had a good summer and got a chance to travel if it was safe and permitted! My family and I did some local camping and visited some family and it was good to get out!

EDGE Mobility System, The Eclectic Approach, and MMT Insiders end of summer sale. Everything in at EDGE Mobility System is 15% off. Coupon is auto applied at checkout!

Thanks to everyone for supporting MMT Blog and coming to our live seminars this year. The team and I are taking a break from blogging Monday next week but we'll be by mid week with more posts, videos, and podcasts!

The coupon for 15% off is auto applied at checkout!

This includes our popular and new EDGE Wonder Gun 2.0EDGE Suspension TrainerThe all new EDGE Restriction System BFR Cuffs 2.0EDGE Mobility Star - our new IASTM Tool! , EDGE Mobility Portable Treatment Table, and EDGE Mobility Belts - as well as our classics - The EDGE Mobility ToolMirror Box, and EDGE Mobility Bands

Sale runs from Mon Sept 7th to midnight Sun Sept 13 midnight EST. Click below to save!
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With our popular new MMT Webinars, full lectures from my MMT seminars, Q&A, live cases and hundreds of manual techniques, there hasn't been a better time to check out Modern Manual Therapy Insiders! Save  $2.00/month on monthly subscriptions by clicking on the link below.
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Thanks for all your support, comments, and questions! Keep them coming! I hope everyone in the USA has a safe and wonderful holiday and everywhere else, have an amazing week!

Keeping it Eclectic...



Top Nutrition Apps for Physical Therapists - themanualtherapist.com

Physical therapists (PTs) are stepping up their game and focusing on important in the clients' lives: social
determinants of health (SDOH), wellness, alcohol and drug use, sleep, and nutrition. As we venture into a newer world of PT practice, clinicians need to be armed with useful tools and resources to help them along the way. Let's outline some of our team's favorite nutrition apps that have helped us help many clients.

Nutrition Guide for Clinicians

Published by the well-known Physicians' Committee for Responsible Medicine (PCRM), the Nutrition Guide for Clinicians is a simple app that all Doctors of Physical Therapy (DPT) should have installed on their phones. The app allows a clinician to easily look up a condition or diagnosis, and then scroll through easily summarized data on simple nutrition tips that can contribute or treat the disease. Authors of the app list copious studies in their references for PTs to research later. 

The best part of this app: it's free. You can download it now and take advantage of this amazing resource that can be taken on-the-go.

MyFitnessPal

Another amazing app is MyFitnessPal. MyFitnessPal offers PTs and clients the ability to track dietary intake day-to-day. Their database of foods is massive, so finding foods from stores, restaurants, or even homemade items is simple and detailed. Remembering what you've eaten from prior days, the app offers one of the easiest platforms for entering in food consumption. Data such as total calories, macro breakdown, and more gets produced daily. Beyond nutrition, MyFitnessPal also offers a database of exercises with estimated calorie expenditure. Don't feel like searching the exercise database? Well, fortunately the app integrates with Garmin, Polar, MapMyRun, and many other wearable technologies. Such information can be helpful to you, the movement and exercise expert, especially for your weight loss clients! Check it out today at: https://www.myfitnesspal.com/

Fooducate

Fooducate is another app that DPTs should be using with their clients. Fooducate uses a proprietary grading system that ranks food based on its "healthiness." The ranking is similar to a grading system which gives an "A" for foods that are excellent for your health and an "F" for very bad. Their app allows for individualized weight loss goals and tips, and similar to MyFitnessPal, a massive database of thousands of foods. Most impressive and engaging, the app offers PTs and patients the opportunity for community engagement. Share pics of food, recipes, and offer each other support along the path to a healthier you! Check it out today: https://www.fooducate.com/

 If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60! 

Check out Modern Nutritional Rehab - A Collaboration between Dr. Sean Wells and Dr. E!

 

Download Your Copy of the Free E-Book:

Learn about the Top 5 Functional Foods to Fight Inflammation and Pain in Physical Therapy. 

Image source: https://www.flickr.com/photos/ucniss/ licensed by CC 2.0

Keywords: nutrition, diet, continuing education, weight loss, technology, online, ortho, apps, PT, physical therapy, learning, wearable

Disclaimer: The above article is written as opinion piece and does not convey specific legal and/or practice act advice.


Learn more online - new online discussion group included!


Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. 
  • NEW - Online Discussion Group
  • Live cases
  • webinars
  • lecture
  • Live Q&A
  • over 600 videos - hundreds of techniques and more! 
  • Check out MMT Insiders
Keeping it Eclectic...