Dry Needling: A Modality to Treat Trigger Points

Dry Needling: A Modality to Treat Trigger Points

By: Vincent Parisi SPT & Gretchen Stein SPT. Missouri State University, Springfield, Missouri Reviewed by Rich Maas PT, DPT, OCS, COMT Dry needling is a technique used by physical therapists to decrease pain and improve function caused by musculoskeletal pain and...

Complex kinematics of the wrist? Child’s Play!

Complex kinematics of the wrist? Child’s Play!

Jamie Bergner, OTD, OTR/L, CHT, COMT Have you ever wondered how the carpal bones and ligaments of the wrist can withstand so much force with daily activities? Consider what you might observe if you are on a playground! You might see children doing handstands, walking...

The First Step in Dealing with the Difficult Patient

The First Step in Dealing with the Difficult Patient

Communication. Conversation.  We do it every day.  It’s an integral part of the human experience.   On the surface, it seems simple.  So simple, in fact, that we don’t often actually think about it.  But in reality, communication between two people is a very complex...

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...

What’s so cool about the IAOM-US upper extremity track?

What’s so cool about the IAOM-US upper extremity track?

Have you been wondering? Well, let me help you out with that. My name is Amy Houchens and I am an instructor with the IAOM-US upper extremity track. I am a PT, CHT and found my first course with this group online. I saw who the instructors were and had already...

What’s all the fuss about dart thrower’s motion?

What’s all the fuss about dart thrower’s motion?

By Theresa Parry OTR, CHT, COMT If you have been present in the hand therapy literature world as of late, you can’t help but notice all the hype about dart thrower's motion (DTM). So, what is it and how can we use it in the clinic?! DTM is the movement that occurs...

Patient Essentials: We have the time

Patient Essentials: We have the time

By Dustin Silhan PT ScD COMT This is a saying we like to use in the clinic where I work - a hospital-based outpatient facility. The concept attempts to place the focus on service to the patient, making them the focal point, and taking the extra step to go above and...

What’s the best treatment for my patient?

What’s the best treatment for my patient?

By Amy Hay Azevedo PT ScD COMT As physical therapists, all of us share a common purpose.  We want our patients to achieve their goals.  This is what drives us to learn more about various pathologies and treatment techniques.  This is why we watch videos on YouTube,...

What Every Patient Needs – Part 1

What Every Patient Needs – Part 1

The chronic pain client can be a challenge to treat even for the most knowledgeable clinician. To this day, not only the patient, but also the providers are asking the questions 1) which is the best approach to treating the chronic pain patient: physical therapy or...

EFFICACY OF BLOOD FLOW RESTRICTED LOW-LOAD RESISTANCE TRAINING IN WOMEN WITH RISK FACTORS FOR SYMPTOMATIC KNEE OSTEOARTHRITIS

EFFICACY OF BLOOD FLOW RESTRICTED LOW-LOAD RESISTANCE TRAINING IN WOMEN WITH RISK FACTORS FOR SYMPTOMATIC KNEE OSTEOARTHRITIS

From the IAOM-US Education Committee
Scientific research is showing early strong evidence for gaining muscle strength and hypertrophy by restricting blood flow through cuffs placed on a limb while the subject performs low load resistance training. While this method allows for less load on a joint, this research is done under very controlled environments. The clinician is encouraged to consider health risks that might arise as the method becomes more common. Clinical reasoning would have the clinician looking out for possible adverse effects to include: hypertension and potential blood clots, side effects that might be related to ischemia reperfusion injury, or, for instance, neuropathy from cutaneous nerve compression.

Differential diagnosis and treatment of iliotibial band pain

Differential diagnosis and treatment of iliotibial band pain

Brandon K, Patla C. J Man Manip Ther. 2013;21(3):142-147. Abstracted by Sarah Wyant, DPT, OCS, COMT, IAOM-US Fellowship Student, Seattle,Washington; Jean-Michel Brismée, PT, ScD, OCS, FAAOMPT, Texas Tech University Health Sciences Center Background: Cuboid syndrome is...

A Case Study Involving Management of the Upper Cervical Spine

A Case Study Involving Management of the Upper Cervical Spine

Denise Schneider, PT, FAAOMPT, COMT, ATC Abstract A patient presenting with a primary complaint of upper jaw pain is challenging to diagnose and treat due to various possible etiologies and convergence of sensory afferents that may refer pain to that area. A...

Acute Rotator Cuff Tear: Do we miss an early diagnosis?

Acute Rotator Cuff Tear: Do we miss an early diagnosis?

Sorensen AKB, Bak K, Krarup AL, Thune CH, Nygaard M, Jorgensen U, Sloth C, Torp-Pedersen S. J Shoulder Elbow Surg 2007;16:174-180.  Abstracted by Matthew P. Mobius M.S., P.T., OCS, Long Island New York.  The authors evaluated epidemiological data of patients...

Deflated Beach Ball to Promote Early Cervical Spine Mobility

Deflated Beach Ball to Promote Early Cervical Spine Mobility

Submitted by Rich Maas PT, DPT, OCS, COMT from Springfield, Missouri The concept of frequent gentle motion promotes healing was initially described by Hippocrates over 2400 years ago, and a plethora of scientific evidence continues to strongly support this phenomena....

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