Search results for: second
Second Opinion Physical Therapist
Getting and providing second opinions regarding medical care is a common practice. Getting and providing second opinions from a physical therapist is a less common practice, but why? Decisions regarding healthcare can by very important. There are times and situations when getting a second opinion regarding healthcare advice are a prudent action. Studies have shown…
Read MoreUsing symptoms &/or sign modification procedure to manage musculoskeletal pain syndrome
The symptom modification procedure is a clinical reasoning process and is a common practice in the Physical Therapy profession. The symptom modification procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. Typically, the symptom is pain, which can be weakness, falls, or other functional limitations. Then intervening to alter the…
Read MoreHow to improve the quality of a selfie video to facilitate motion analysis
In a previous article, I described how sharing selfie videos with healthcare professionals can facilitate motion analysis for the management of painful musculoskeletal syndromes, injury prevention, and performance enhancement. This article describes how to improve the quality and standardize the process of capturing selfie videos to facilitate the motion analysis process. I am a healthcare…
Read MoreUsing a selfie video for motion analysis
A selfie video can enhance motion analysis for the diagnosis and intervention of painful musculoskeletal injury, for injury prevention, and for enhancing movement performance. A selfie video is a video recording that you take of yourself, also called a velifie A selfie video can: Provide opportunities for reflective self-learning. Provide visual data regarding comparing…
Read MoreShould we discharge from Physical Therapy
Why is the terminology “discharged from Physical Therapy” used? I have not heard of anyone being “discharged from dentistry”. I have not heard of anyone being discharged from massage therapy. The meaning of “discharge” is – to relieve of a charge, load, or burden; or to release from confinement, custody, or care; or to set…
Read MoreWhat is harder than learning? Unlearning
This image from Roger von Oech’s “A whack on the side of the head” 1983 has intrigued me for years. The idea that we get rid of ideas or concepts is thought-provoking. How do we know when to reject ideas? What is the thought process we use to unlearn something? My understanding of learning new…
Read MoreOn-line mentoring reflective learning
John Dewy wrote, “the experience alone does not necessarily lead to learning; it is the reflection that makes sense of the experience to us and hence makes the experience meaningful for us”. Experience does not equal learning. We do not learn from experience we learn from reflection on experience. Experience does not equal knowledge. Reflection…
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 MoreWalk this way – Run this way
What way should we walk? What way should we run? Mel Brooks and Gene Wilder wrote the script for the movie “Young Frankenstein” in which the character Igor the hunchback shows Dr. Frankenstein “this way”, and hands him his cane, expecting Dr. Frankenstein to mimic his hunched, contorted shuffle, which Dr. Frankenstein cordially does. This…
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…
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