Tuesday, January 30, 2018

Elbow Fracture

Had a great therapy session with a 47 y/o female cyclist this morning. Patient had a nasty crash in November 2017. At first the Orthopaedic Surgeon thought a Total Joint Replacement was necessary, however with the assistance of a Trauma Surgeon the elbow was “put back together” as seen in the Xray....
She is now about 8 weeks post-op and in her 3rd week of therapy. The patient is blessed with a great outlook on life and awesome motivation! Hopefully soon, (yet not soon enough), most mobility will be regained!!

Thursday, January 25, 2018


Happy Friday-Eve folks!!!
Let's kill it today;)))

Wednesday, January 24, 2018

Directional Preference in Low Back Pain

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.
Call: 337.264-6282

Friday, January 19, 2018

Lower Back Pain

Here are some of the symptoms when suffering with lower back pain:
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

Direct Access to your Physical Therapist without Doctor Referral!

On June 6, 2016 Senate Bill No. 291, amending the Louisiana Physical Therapy Practice Act found at La. R.S. 37:2418 et seq., became law allowing patients direct access to physical therapy.  This law is effective as of June 6, 2016.  A summary of the changes in the law are as follows: 
  1. 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;
  1. 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;
  1. 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;
  1. 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.[1]  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.[2]  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.[3]  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.