Search results for: Pain movement
Are you a half ass? – stretch weakness of gluteal muscles contributing to heel, foot, shin, knee, hip pain
There is a growing body of evidence that many repetitive use injuries such as knee pain, shin pain, heel pain, and forefoot pain can be addressed by improving the strength of the gluteal muscles. The gluteal muscles consist of gluteus maximus, gluteus medius, gluteus minimus, piriformis, and smaller less recognized muscles are commonly called “bun…
Read MorePain on Bottom of Heel: Faulty Shock Absorption
Pain on the bottom of the heel (Plantar Heel Pain) is a complex problem with variable diagnoses and explanations. And, with variable diagnoses there should be variations in treatment. Unfortunately, the common treatment recommendations do not recognize such variability. Not all pain on the bottom of the heel is the same and not all pain…
Read MoreBalancing joint capacity and exercise load using synergistic muscle action
A key concept in managing and preventing hip pain is understanding the balance between the capacity of the joint to handle load and using exercise training load to increase the capacity of the joint. To modify movement, one can “load” it by adding external resistance. Or “unload” it by decreasing or eliminating external resistance. Or…
Read MorePhysical Therapy telehealth lessons learned mistakes made
My perception of my abilities in providing telehealth video conferencing Physical Therapy or Physical Therapy service online follows the Dunning-Kruger effect. The Dunning-Krueger effect is a process of overestimating and underestimating our abilities and competence. When I began offering telehealth Physical Therapy in 2017, I initially overestimated my abilities. Over the past seven years, I…
Read More20250329 draft Physical Therapy Online Telehealth
Physical Therapy Online Telehealth Call 804-647-9499 for a free discussion to determine whether a telehealth visit (live video conference) is right for you, or whether a face-to-face consultation is more appropriate. There may be times when a face-to-face assessment of your musculoskeletal problem isn’t convenient, or you may just want a second opinion or to…
Read MorePhysical Therapy Online Telehealth
Physical Therapy Online Telehealth Call 804-647-9499 for a free discussion to determine whether a telehealth visit (live video conference) is right for you, or whether a face-to-face consultation is more appropriate. There may be times when a face-to-face assessment of your musculoskeletal problem isn’t convenient, or you may just want a second opinion or to…
Read MoreWhat is the alternative to I have fallen, & I can’t get up? – improve strengthen flexibility “just do it”
A patient with Parkinson’s syndrome, living alone expressed to me his frustration. He had fallen and was unable to get back up. He pissed on himself. He used his fall alert system via the internet to notify the rescue squad. In addition to the embarrassment, he felt about not being able to get back up…
Read MoreContinuing Education Courses DHPT
Continuing Education Courses for Healthcare Providers Provided by Damien Howell Acquire opportunities/courses to help you & your patients thrive Enhance your ability to “learn how to learn” – reflective learning Enhance your credibility with customers Integrate & refine your clinical skills Improve your clinical reasoning Take courses that quality for Virginia Physical Therapy Board Type…
Read MoreHow does the natural progression of osteoarthritis influence the management of osteoarthritic flares?
Case Example: Over the last year, on several occasions, a patient has sought assistance for recurring flaring neck pain. Radiographs show moderate osteoarthritic (OA) changes in the cervical spine. A history of mild to moderate scoliosis of the spine has existed since childhood. Over the years, the neck pain has alternated from long periods of…
Read MoreOrthopedic surgery is not always necessary – coper vs non-coper
A diagnostic image such as an MRI can show significant structural damage such as a complete tear of the anterior cruciate ligament (ACL), a complete tear of the rotator cuff of the shoulder, a herniated spinal disc, or other musculoskeletal tissue damage. In 1983 Frank Noyes and colleagues in a seminal study of patients without…
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