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Strengthening Core Muscles to Improve Bladder Function and Gait in a Patient with ADEM

Posted by on May 23, 2018 in Uncategorized

In this photo we are using proprioceptive neuromuscular facilitation to encourage improved core muscle recruitment and strength. Having the patient use gross motor movements utilized in rolling on her weaker side will work her core muscles. It is ideal to give the bladder a lot of support by strengthening the diaphragm, multifidis, pelvic floor muscles, and lower abdominals (otherwise known as the canister muscles). ADEM is acute disseminated encephalomyelitis and is characterized by a brief widespread attack of inflammation in the brain and spinal cord that damages the myelin of nerves. Our...

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Preparing for Labor and Delivery with Hip Impingement

Posted by on May 3, 2018 in Uncategorized

Here we are performing hip mobilizations in sidelying on a pregnant patient who has a prior history of hip dysfunction. Because of an old trauma she has a history of hip impingement. Femoroacetabular Impingement (FAI) is also known as Hip Impingement. This painful condition occurs when there is abnormal contact between the femoral head and acetabulum during motion. With hip impingement, patients usually present with groin pain and a reduction in hip range of motion. Even if the disorder is asymptomatic prior to pregnancy or during the 1st trimester, the patient can become symptomatic during...

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Scoliosis as a Cause of Chronic Pelvic Pain

Posted by on Apr 19, 2018 in Uncategorized

Scoliosis is a spinal curvature that can be a cause of an symmetrical pelvis. One side of the pelvis sheers upwards as a compensation of the curvature. Besides causing a functional leg length discrepancy (side of sheered pelvis upwards “shortens” the leg), there are many changes in the soft tissue structures such as pelvic ligaments, pelvic muscles, and nerves. Structures on the sheered or upslip side are tractioned or pulled upwards. In this patient, she is experiencing left sided chronic pelvic pain. Her left pelvic floor muscles are being tractioned or pulled upwards. This can result in...

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Ruling out Hip Impingement as a Cause of Chronic Pelvic Pain

Posted by on Mar 30, 2018 in Uncategorized

Femoroacetabular Impingement (FAI), also known as Hip Impingement, occurs when there is abnormal contact between the femoral head and acetabulum during motion. FAI and the muscle imbalances around the joint can alter hip and pelvic biomechanics during gait. Performing range of motion testing of the hip and special orthopedic tests such as the FADIR may help diagnose the issue. With the patient supine with one leg extended, flex, adduct, and internally rotate the hip. The test is positive if this reproduces the patient’s anterior groin or anterolateral hip pain. In patients with FAI there is...

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Winter/Spring 2018 Newsletter

Posted by on Mar 20, 2018 in Uncategorized

Featured articles include Osteitis Pubis, Retraining the Pelvic Floor in a Pilates Instructor, and Hip Impingement Can Cause Pelvic Floor Muscle Pain. To view the newsletter, please click...

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Helping Reflux with Physical Therapy and Dietary Changes

Posted by on Feb 9, 2018 in Uncategorized

‬There are 2 types of reflux that patients suffer from. Laryngopharyngeal reflux (or LPR) is when stomach acid comes up into the throat. A common treatment for this is a proton pump inhibitor oral medication. Gastroesophageal reflux or GERD involves a backup of stomach acid into the lower esophagus. We treat GERD and LPR via visceral manipulation, spinal joint mobilization, corrective breathing pattern techniques, and other advanced manual therapies. Here we are performing a manual release technique of the lesser curvature of the stomach. This patient has decreased mobility and motility of...

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