Monday, December 31, 2018
Thursday, December 27, 2018
Wednesday, November 21, 2018
Wishing everybody a safe and
Happy Thanksgiving 🍁
I am so grateful for the confidence given by so many, to assist you with restoring your health and quality of life🙌
So very grateful for God, family and friends in my life🙏
Proud and thankful for living in this amazing country we call USA 🇺🇸
Wednesday, August 15, 2018
Patient reported a 65-70% improvement after treatment session, which made his (and my) Monday great again!!
Typically Ice/Heat treatment and Stretching Exercises are recommended for homework.
Photo credit: Gaywynn M Vuijsters
Thursday, July 12, 2018
I am focussing mostly on my Facebook account to keep you informed.
There you'll find most all information about my clinic.
Please click on the Facebook Badge listed on the right side of this page and become enlightened.
Wednesday, April 18, 2018
Great post from EMBRK Lifestyle.
💡 The amount of time I've seen some people spend on a foam roller (way too long), you would think their workout split is push/pull/foam roll. Let's dive into what foam rolling does, what it does not do, how it works and how we can optimize our results.
🔹Foam rolling does(based on research):
-Increase range of motion (albeit for a short time <10 minutes)
-Decrease delayed onset muscle soreness (DOMS) when foam rolling post-workout
🔹Foam rolling does not (based on research):
-Break adhesions or knots in your fascia (takes over 9000N of force to influence fascia 1%, amateur boxers can punch on average roughly 2500N to give you an idea of how much force that requires)
-Increase muscle performance (it does not decrease it either)
🔹Mechanism of how foam rolling works (mainly theoretical, still needs more research):
-If we are not breaking knots or adhesions then how do we get new range of motion? It kind of works like a massage in the sense that we believe the foam rolling is decreasing neurological tone in the muscle. If we decrease the tone then we can have better tissue extensibility (limited).
-The 'massage' that foam roll gives may also help improve blood flow which is why it may help prevent DOMS (yet to be researched on a physiological level).
🔹 Optimizing our foam rolling routine (based on research):
-Used in conjunction with static/dynamic stretching and loading yielded longer results
-4x30 seconds had the same amount of ROM benefits as 2x10 seconds, so stop rolling yourself like a pasta
-You should not spend more than a couple of minutes (<5 minutes) foam rolling before and after workouts IF you want to use it as a tool
📚Cheatham SW, et al. The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review. Int J Sports Phys Ther. 2015.
Friday, March 23, 2018
Thursday, March 22, 2018
These guidelines make life work better.
You will receive a body. You may like it or hate it, but it's the only thing you are sure to keep for the rest of your life.
You will learn lessons. You are enrolled in a full-time informal school called "Life on Planet Earth."
Every person or incident is the Universal Teacher.
There are no mistakes, only lessons. Growth is a process of experimentation.
“Failures" are as much a part of the process as "success."
A lesson is repeated until learned. It is presented to you in various forms until you learn it -- then you can go on to the next lesson.
If you don't learn easy lessons, they get harder. External problems are a precise reflection of your internal state. When you clear inner obstructions, your outside world changes. Pain is how the universe gets your attention.
You will know you've learned a lesson when your actions change. Wisdom is practice. A little of something is better than a lot of nothing.
"There" is no better than "here." When your "there" becomes a "here" you will simply obtain another "there" that again looks better than "here."
Others are only mirrors of you. You cannot love or hate something about another unless it reflects something you love or hate in yourself.
Your life is up to you. Life provides the canvas; you do the painting. Take charge of your life --or someone else will.
You always get what you want. Your subconscious rightfully determines what energies, experiences, and people you attract -- therefore, the only foolproof way to know what you want is to see what you have. There are no victims, only students.
There is no right or wrong, but there are consequences. Moralizing doesn't help. Judgments only hold the patterns in place. Just do your best.
Your answers lie inside you. Children need guidance from others; as we mature, we trust our hearts, where the Laws of Spirit are written. You know more than you have heard or read or been told. All you need to do is to look, listen, and trust.
You will forget all this.
You can remember any time you wish.
Thursday, March 15, 2018
Tuesday, March 13, 2018
🔹Why is that important? Because the prefrontal cortex and the hippocampus are the two areas that are most susceptible to neurodegenerative diseases and normal cognitive decline in aging. So with increased exercise over your lifetime,you're not going to cure dementia or Alzheimer's disease, but what you're going to do is you're going to create the strongest, biggest hippocampus and prefrontal cortex so it takes longer for these diseases to actually have an effect.⠀
🔹You can think of exercise, therefore, as a supercharged 401K for your brain, and it's even better, because it's free.⠀
Sunday, March 11, 2018
Tuesday, March 6, 2018
Friday, March 2, 2018
Thursday, March 1, 2018
Wednesday, February 28, 2018
Tuesday, February 27, 2018
Monday, February 26, 2018
Tuesday, February 20, 2018
Monday, February 19, 2018
Friday, February 16, 2018
Saturday, February 10, 2018
Follow up post on this horrendous elbow fracture, (after a nasty bicycle crash), and the progress made since the November 19th surgery. “T-girl” has completed 4 weeks of physical\manual therapy. At start the mobility of the right elbow was limited to about 130* extension, 120* flexion, also limited for external\internal rotation. Significant pain was experienced with start of mobilization. On her last visit to my office the mobility has improved to about 95* flexion, 160* extension and near full mobility for external\internal rotation. The mobilization now is paired with moderate to light pain, ( please keep in mind that T-girl is one tough cookie ). I am so proud of her, her motivation\determination and all the hard work she puts in!! Looking forward to speedy, ongoing progress and hopefully back on the bike soon...
Friday, February 9, 2018
Thursday, February 8, 2018
One of the issues I get the most questions on is low back pain, especially disc herniations. While there is a lot that goes into this question, two things I usually mention are that disc herniations are common in much of the asymptomatic population and that they can heal with time and conservative treatment.
The following is a case report from the New England Journal of Medicine that documents the resolution of a lumbar herniation without surgery.
📕A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia. MRI of the lumbar spine revealed a lumbar disc herniation resulting in substantial spinal stenosis and nerve-root compression (left image).
📕She elected conservative treatment with physical therapy and an epidural injection of glucocorticoids. A second MRI obtained at follow-up 5 months after presentation showed resolution of the herniation (right image). Her clinical symptoms resolved, and she was discharged from the clinic, with follow-up recommended as needed.
📕Data from clinical trials suggest that patients who have herniated lumbar discs have similar long-term outcomes whether they undergo surgery or elect conservative management. In addition, the risk of subsequent catastrophic worsening without surgery is minimal.
📚Hong J and Ball PA. Resolution of Lumbar Disk Herniation without Surgery. N Engl J Med. 2016.
Tuesday, January 30, 2018
Thursday, January 25, 2018
Wednesday, January 24, 2018
In cases of low back pain (LBP) where pain also radiates into the leg (radicular pain), one of the goals in rehabilitation is to determine if the patient's symptoms can be reduced by placing the spine in a particular position (flexion or extension). If a position is found that reduces pain, this is referred to as the patient's directional preference and is used as a guideline when prescribing exercise/movement.
When radiating pain is present, it is important to understand that if pain leaves the leg and moves closer to the spine (centralization phenomenon), this is a sign of neural desensitization and recovery. On the other hand, if pain spreads farther away from the spine (peripheralization), this is a sign that the condition is worsening.
If you are experiencing LBP that radiates into the leg, it can be very helpful to see if you can find your own directional preference and, at the same time, identify any positions that worsen symptoms. In the picture shown here, this patient may have reported increased symptoms when in spinal flexion (sitting, bending to the ground, etc) and reduced pain with extension (laying on their stomach, standing, etc). In this case (which is actually quite common), extension would be this individual's directional preference and they would be advised to avoid positions of prolonged flexion and use extension positions or repeated movements (i.e. standing and arching the low back 10-15 times) to create centralization and speed recovery.
If you have any questions about radicular pain, directional preference or centralization/peripheralization, please ask as these topics can sometimes be a bit confusing.
Friday, January 19, 2018
Pain across the lower part of the back that sometimes radiates into the buttocks, the back of the thigh or to the groin.
Limitation in movement of the spine especially bending forward and leaning back.
Spasms of the muscles surrounding the spine and causing a stiff back with severe pain; The spine may tilt to one side causing a change in posture and/or a limp.
The pain is sometimes accompanied by a tingling sensation or numbness in the back or buttocks or leg, which may pass right down into the foot. This is called sciatica, and it indicates irritation of the sciatic nerve, which passes down from each side of the spine to the feet.
If you have any of these problems, call for info or schedule an appointment: 337.264-6282
- A physical therapist possessing a doctorate degree or five years of licensed clinical practice experience may implement physical therapy treatment without a prescription or referral;
- A physical therapist treating a patient without a prescription or referral must refer the patient to an appropriate healthcare provider if, after thirty days of physical therapy treatment, the patient has not made measureable or functional improvement;
- The new direct access provisions do not change the law as it related to Workers’ Compensation as specified in La. R.S. 23:1142, monetary limits of health care provider approval; La. R.S. 23:1122, Worker’s Compensation Medical Examinations; and La. R.S. 23:1203.1, Worker’s Compensation Benefits;
- No physical therapist shall render a medical diagnosis of disease.
While patient access to physical therapy has changed, the scope and practice of physical therapy remains the same. Physical therapists conduct an initial physical therapy examination and render a physical therapy diagnosis treating only those conditions within the physical therapy scope of practice. In addition, a physical therapist remains responsible for managing all aspects of the physical therapy care of each patient. A physical therapist must continue to practice within his/her individual scope of practice by exercising sound professional judgment based on his/her individual knowledge, skill set, education, training and experience, and only perform those procedures in which he/she is competent. If in practicing within his/her individual scope of practice the physical therapist finds that the treatment needed is outside his/her scope of knowledge, experience, or expertise, the physical therapist must notify the patient and appropriately refer to another healthcare provider.