Sometimes any movement, positional, or manual therapy based input is not enough on a patient with a very sensitized nervous system. This is often a good time to get back to basics.

Let's assume for the purposes of this post that this hypothetical case is able to respond rapidly to your treatments and HEP, but frequently comes back not keeping the improvements.

My recent time mentoring out of clinic had a lot of great cases. One of the cases, my mentee wanted to see how I would address chronic cervical pain with complicating factors of anxiety, myofascial pain syndrome (or fibromyalagia, not sure what her "Dx" was).

 “A mentor is someone who sees more talent and ability within you, than you see in yourself, and helps bring it out of you.” Bob Proctor

For the first part of this Brain Spill by Dr. Dave Tilley, click here! Now onto part 2!

courtesy of WebMD
ouch! Check out all that red!

Those of us who have taken courses in Pain Science and keep up with research in that realm know that what your body part looks like while you are lying in a tube does not correlate well with how someone feels and moves.

A recent fellowship mentoring session with a few older patients had a commonly asked question regarding lumbar stenosis and painful transitions from sitting to standing.

Ankle mobility is important. You know what else is important? Having easy and reproducible ways to measure it that do not involve palpation or accessory motion testing.

“Creating a better future
Requires creativity in the present.”
― Matthew Goldfinger

 

 

A reader recently emailed me about giving a Pain Science Inservice at her workplace. She asked the following questions.

I write on compliance now and then because that is how you get into that "Magic 6" range where the majority of your patients are better in 6 visits or less.

Back when I was in fellowship and OMPT training, we tried to be as "specific" with our joint manipulations as possible.

Time for my second sway on Myths of Manual Therapy! The topic this time is spinal manipulation. Hyper linked in the sway are some studies which will hopefully enlighten viewers that manipulation works, but probably not for the reason most think it does.

“It doesn’t matter what it is you are selling. What matters is how comfortable you are at selling.”

– Jamey Schrier

Last week I mentored an EIM Fellow in Training in his clinic. One of the cases was a young woman status post right tibial fracture and repair.

Do you want to improve your deep squat or overhead deep squat? One is an exercise and the other is normally part of a movement screen.

 “The soldier is the Army. No army is better than its soldiers. The Soldier is also a citizen.

                                   ― George S. Patton Jr.

Those of you who may be applying a repeated motions exam to find a directional preference, or using a pure MDT approach will find that most cervical spines and lumbar spines respond to extension or some form of unilateral loading.

I am trying out a new Microsoft Product called sway, it's like pretzi, but auto formats to each device, mobile, tablet, pc, very easy to use, and built to share!

I’ve been reading and listening to probably what is more than a healthy amount of scapular research and rehabilitation lately. It’s great for me because I’m currently working with a few athletes with scapular dyskinesia and shoulder pain. I wrote a bit about scapular dyskinesia some time back and it’s easily one of my most popular articles to date.

With a little more than half of 2015 behind us, The Manual Therapist is just short of 3 million hits! Plus....it's that time of the year again! Right before the Independence Day Holiday, and that means I list the Top 5 Most Read Posts of the year, in the hopes that it will take less time to write an original post.

“To strive, to seek, to find. And not to yield” –Alfred, Lord Tennyson

It doesn't really happen like this....

Recently, one of the physios at The Eclectic Approach to Soft Tissue Manipulation in Rome, Italy was complaining about lateral elbow pain.