Repetitive Use injury
Symptom modification of painful gait
Symptom modification procedure is common practice in the Physical Therapy profession. This procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. Historically diagnosis of musculoskeletal problems was based on examination which selectively provoked musculoskeletal tissues by compressing or stretching the various tissues to provoke the symptoms. This provided direction for…
Read MorePain walking/running deviant gait – self treat &/or seek expert assistance
Experiencing pain when walking or running can be a complex problem. Asserting a hypothesis is a systematic way to solve complex problems. A hypothesis is an “if-then statement” or conditional statement which can be tested, accepted, or refuted. Hypothesis: If you have pain walking and/or running, then gait analysis to determine if 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…
Read MoreHow to exercise to lose weight when exercise is painful
High body mass index (BMI) is significant factor in low back pain, osteoarthritis; hip osteoarthritis; knee osteoarthritis, plantar heel pain. Weight loss intervention for pain reduction Decreasing body weight is an effective intervention to decrease musculoskeletal pain. Research by Stephen Messier at Wake Forest U, looking at individuals with painful osteoarthritis of the knee who…
Read MoreHealthcare Whisperer versus Con Artist
The popular idiom of a “whisperer” is used to describe an individual who has special skills to interact with humans or animals to alter behavior and achieve outcomes that others cannot. What are the characteristics of a whisperer? A whisperer: Has high level of empathy Has specialized skills Focuses is understanding Uses body language communication…
Read More“Deme Bones” – Regional interdependence
The common reframe from the old spiritual song “dem bones” is the “toe bone is connected to foot bone”. In the medical community this concept of mechanical connectiveness is referred to as “regional interdependence”. Regional interdependence is seemingly unrelated impairments in remote anatomical regions of the body may contribute to and be associated with a…
Read MoreGait Deviation – Excessive Inward Rotation of Hip Joint
Excessive inward rotation of the hip joint can be a contributing factor to development of repetitive use injuries of: Lateral hip pain (gluteal muscle tendinopathy) Buttock pain (piriformis syndrome) Anterior knee pain (patella femoral arthralgia) Lateral knee pain (IT band syndrome Shin pain (posterior tibial tendinopathy) Plantar heel pain This video first illustrates the gait…
Read MoreShoe drop – how the pendulum swings
Put on your high-heel sneakers, Lordy Wear your wig-hat on your head Put on your high-heel sneakers, child Wear your wig-hat on your head Ya know you’re looking mighty fine, baby I’m pretty sure you’re gonna knock ‘em dead – Tommy Tucker Growing up in the 1960s, I remember the song, “Put on Your High-Heel…
Read MoreIt’s not hip to be in pain – Gait analysis & training can improve those pains in the backside
Are you experiencing pain in the lateral aspect (outer side) of your hips and/or buttocks when you walk or run? If so, using slow-motion video to identify gait deviations and working on your gait with a physical therapist can help solve the problem. Gait deviations are movements that differ from the norm. A deviation can…
Read MoreHow to do the analysis of slow-motion video of human movement
Smart phone video technology provides significant opportunities to analyze human movement. There are four steps involved in using smart phone video for slow motion video analysis. Each step has considerations, challenges and barriers that need to be addressed. The four steps are recording movement; analyzing the movement; storing the video data; and retrieving the video…
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