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…

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Physical 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…

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20250329 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…

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Musculoskeletal pain which are important steps which are less important?

Thesis: Choosing a diagnosis is an early step in solving non-traumatic muscle and bone pain problems. A diagnosis helps guide treatment, predict how problems will progress, and improve communication. A diagnosis has many functions, including direction for intervention to solve problems, predicting how problems will progress, and assisting in communication. Antithesis: Medical terminology is notoriously…

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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…

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Adjusting the exercise load to manage musculoskeletal pain syndrome

Adjusting the amount of exercise load involves seeking a balance between increasing or decreasing the load. Athletes and healthy individuals the bias is towards increasing the load to improve capacity and performance. For musculoskeletal injuries, post-orthopedic surgery, or musculoskeletal pain syndromes, the bias is towards decreasing the load to facilitate healing and recovery. Tactics to…

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Continuing 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…

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Movement-evoked pain measurement for adjustment of interventions for chronic musculoskeletal pain syndromes

If chronic musculoskeletal pain syndrome is like diabetes, then what is a self-administered test to adjust interventions? A thought-provoking article by Jermey Lewis and Peter O’Sullivan suggests “Is it time to reframe how we care for people with non-traumatic musculoskeletal pain” they suggest we have a lot to learn from how other chronic medical and…

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Using 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…

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