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[INJURED? DON’T FORGET ABOUT THE IMPACT OF THIS WITH INJURY] ☝๐Ÿป



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๐Ÿ‘‰๐ŸปThere are many determinants of both performance & injury ♾
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๐Ÿ‘‰๐ŸปI often say injuries are far more than ‘skin deep’: meaning that it’s not just about the biology of the injured or sore tissues & the (training) loads that may have overloaded that area -commiseration also needs to be given to the difficult to quantity ‘3rd dimension’ that is the emotional stressors an athlete/ individual is experiencing/subject to ๐Ÿค”
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๐Ÿ‘‰๐Ÿปtraining overload DOES NOT explain all injuries. The body is under load due to emotional distress (relationships, work, exams, financial hardships etc) ⚖️
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๐Ÿ‘‰๐Ÿป It is well established scientifically that our adaptation to our training loads is influenced (positively ➕ & negatively ➖) by biomechanical factors (how we move) as well as various emotional and lifestyle stressors ๐Ÿƒ‍♂️+ ๐Ÿง 
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๐Ÿ‘‰๐ŸปFor example elevated academic^ ๐Ÿค“& emotional stress* ๐Ÿ˜”, anxiety” ๐Ÿ˜ฌ, and the stress related personality traits of self-blame’’’ ๐Ÿฅบ, and perfectionism**๐Ÿค”have all been shown (see references below) to increase injury risk ⬆️๐Ÿ‘Ÿ
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๐Ÿ“ŒTAKE HOME: recognise that lifestyle stressors & your accompanying emotions play a role in injury risk & potential subsequent injury development. & rehabilitating. While we can’t control what happens to us we can at least recognise that our emotions can impact us (➕ & ➖) & through awareness best attempt to monitor & manage our lifestyle stressors to help keep training ๐ŸŽฝ

Reposted with permission from Brad Beer's instagram.


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TMD and Facial pain can be very debilitating! Unless you've experienced it yourself, it's hard to imagine having pain speaking, eating, and even smiling.

A common term that is thrown around in the physical therapy and rehabilitation conversations in graduate school PT labs and clinics is proprioception.

It's easy to gain more mobility from a variety of dynamic stretches, manual techniques, corrective exercises or repeated loading strategies.

As clinicians, we try our best to empathize with patients in chronic pain. However, if you've never had a persistent injury, loss of function, and or fear avoidance, can you really relate?



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Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at edgemobilitysystem.com .  Be sure to also connect with Dr. Erson Religioso at Modern Manual Therapy and Andrew Rothschild at Modern Patient Education.

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In order to provide the most appropriate treatment, you need to figure out the most appropriate diagnosis.  Examining proper symptoms and ruling out other conditions that could contribute to dizziness and lightheadiness is the first course of action for someone you are considering to have Cervicogenic Dizziness.

๐Ÿ’ฅ๐’๐œ๐š๐ฉ๐ฎ๐ฅ๐š๐ซ ๐‚๐จ๐ง๐ญ๐ซ๐จ๐ฅ๐Ÿ’ฅ
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๐Ÿ‘€ In follow-up to a post on scapular winging, today’s post covers some of my favorite exercises for training the muscles that surround the scapulae.


What are symptoms of Cervicogenic Dizziness?

The symptoms of Cervicogenic Dizziness can vary.  This is due to the vague definition of Cervicogenic Dizziness and the confusing aspect that Cervicogenic Dizziness is still called Cervical Vertigo.  This leads us to the symptoms…
Cervicogenic Dizziness is not described as true vertigo.  If it is, this is very rare.  Vertigo is defined more as the room or the person is spinning.  That would lead someone to think more of a diagnosis such as BPPV (with the V meaning for Vertigo).
Therefore, Cervicogenic Dizziness would not be described as room or person spinning, or true vertigo.  The following are other descriptors and symptoms that are typical from a patient with this condition:
  • Dizziness
  • Lightheadiness
  • Unsteadiness
  • Drunkenness
Other descriptors could be:
  • I feel like I may fall
  • People tell me that my head is not on straight
  • I can’t walk straight
Additionally, patients may also have symptoms of:
  • Neck Pain
  • Tightness in neck and shoulders
  • Headache
There you go!  Nice and generalized descriptors of symptoms — but isn’t this normal for conditions, especially ones involving the vestibular and musculoskeletal system!

You can learn more about the screening and treatment process of Cervicogenic Dizzinesss through Integrative Clinical Concepts, where the author and his wife, a Vestibular Specialist, teach a 2-day course.  Pertinent to this blog post, the first day provides the most up-to-date evidence review from multiple disciplines to diagnose through the “Optimal Sequence Algorithm” to assist in ruling out disorders and ruling in cervical spine, including determining if single or double entity exists.  
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 prices and discounts.
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

Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below!

Learn more online!


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. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

Keeping it Eclectic...