CLINICAL PEARL Dizziness with Neck Pain

CLINICAL PEARL Dizziness with Neck Pain

Becky Sherwin MPT, COMT The vast majority of my caseload consists of patients with spinal impairments, and most of these are patients with neck pain.  Many of these people have been in motor vehicle accidents and  have complaints of headaches and dizziness....
What’s wrong with this picture?

What’s wrong with this picture?

By Theresa Parry OTR MS CHT COMT This is an example of a midcarpal joint dorsal intercalated segment instability (DISI). Note how the moon-shaped lunate in facing in a dorsal direction. Also, notice the arthritic changes taking place on the dorsal lip of the lunate...
Restoring External Rotation in the Shoulder

Restoring External Rotation in the Shoulder

By Dustin Silhan, PT, ScD, COMT When we look at our shoulder patient population, whether we are dealing with the post-op case, adhesive capsulitis, or other cases where we have capsular restrictions, external rotation (specifically at 90 degrees abduction) is often...