Search results for: expectations
Expectations Treatment Outcomes
The expectations of a patient, patient satisfaction regarding treatment and treatment outcomes are related in a very complex manner. Whether you have an over use injury as a result of recreation sports, a traumatic injury, or chronic musculoskeletal disease process like rheumatoid arthritis awareness of the interaction of your expectations, satisfaction with treatment provided, and…
Read MoreChoices of interventions for musculoskeletal pain syndromes: decrease pain, improve impairment, resolve dysfunction
There are multiple and varied interventions that can tackle the contributing factors of pain, impairment, and dysfunction that occurs with musculoskeletal pain syndromes. Pain impairs an individual’s ability to function Impairment is loss of use or derangement of any body part, organ system, or organ function. Dysfunction is an alteration of an individual’s capacity to…
Read MoreSurgery vs non-surgical intervention -Decision for musculoskeletal pain syndrome
When deciding whether to proceed with irreversible intervention such as elective or discretionary orthopedic surgery it is essential to consider the biases of the surgeon, non-surgical healthcare provider, and the patient. For many orthopedic injuries especially nontraumatic or less acute musculoskeletal pain syndromes surgery can be an intervention option. For many if not most musculoskeletal…
Read MoreHow 2D video motion analysis facilitates problem solving, reflective learning, & identification of novel interventions
The referral of this gentleman in the video below was for an exercise program for chronic right knee pain. The patient and the referring Physician Assistant expressed expectations that an exercise program would help decrease his pain so he could return to playing recreational basketball. There is ongoing controversy about whether high-intensity quadriceps strengthening exercises…
Read MoreTelehealth PT Benefits – Statutory Barriers Across State Lines
With the weakening of the covid 19 pandemic, I expect the utilization of Physical Therapy services by telehealth will decline. However, the necessity of learning to provide and receive Physical Therapy services via telehealth uncovered benefits of this service model including: Eliminating time spent traveling to and from appointments and time spent waiting for care…
Read MoreCatch 22 – Underutilization of 2D Slow-Motion Video Analysis
Why is there low utilization of 2D slow motion video analysis of movement by Physical Therapists? There are many advantages for using 2D slow-motion video analysis for management of movement disorders including increased accuracy of diagnosing movement impairments; improved communication with patients and healthcare team; increased engagement of the patient; and improved understanding of movement…
Read MoreDiagnostic imaging pros & cons – be careful what you ask for
There are many reasons to request a diagnostic image such as a radiograph (X-ray), MRI, sonogram (ultrasound), and CT scan. They are to diagnosis a pathology/trauma; determine treatment options; screen for contraindications; biomechanical analysis; provide reassurance; medical legal reasons; and financial gain for the healthcare provider. Requests for diagnostic imaging must come from a licensed…
Read MoreNew developments in joint replacement surgery & rehabilitation
The use of joint replacement surgery for hip and knee pain has evolved greatly since I started my Physical Therapy career many years ago. Joint replacement is occurring in younger individuals Younger individuals are having joint replacement surgery. Data from 2000 to 2009 for individuals from 45 to 64 years old there was a 188%…
Read MoreWhat do you do when Dr. Google isn’t cutting it?
Searching for information online for personal health and medical issues has become commonplace. Estimates are more than 1/3 of persons in the U.S. use the internet for information on their symptoms. More than 60% of US adults have searched online for information during the past year according to the Pew Research Center. There is a…
Read MoreAs a patient, how do I get my healthcare provider more engaged in my care plan?
The goal of any relationship between a healthcare provider and patient is that both parties feel they are invested in favorable health outcomes. How they get there is the question. The underlying assumption is that a high degree of engagement from the provider and the patient will result in better outcomes, costs less, and may…
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