Spinal cord injuries can be caused by a variety of factors, with the most common causes being trauma and accidents. Traumatic spinal cord injuries often result from motor vehicle accidents, falls, sports injuries, and acts of violence. Non-traumatic spinal cord injuries can occur due to medical conditions such as tumors, infections, and degenerative diseases. Additionally, spinal cord injuries can also be caused by surgical complications or damage to the spinal cord during medical procedures.
A spinal cord injury can have a significant impact on a person's mobility. The extent of the mobility impairment depends on the level and severity of the injury. In general, spinal cord injuries can result in partial or complete paralysis, affecting the ability to move and control muscles below the level of injury. This can lead to difficulties with walking, balance, coordination, and fine motor skills. Individuals with spinal cord injuries may require the use of mobility aids such as wheelchairs, walkers, or braces to assist with their mobility.
We're joined by Dr. Adrian Miranda of Gross Anatomy Web Series on youtube. He tells his origin story of expectation of high school graduate, to earning his doctorate, teaching residency, and eventually forming a PT based entertainment company! Be sure to check out Gross Anatomy on youtube! Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-08-22
Erson chats with Dr. Sean Wells, author, nutrition specialist, speaker, and Modern Rehab Mastery mentor. Recently, Sean gave a talk on wholistic treatment for orthopaedic conditions in the older population. After being asked about collagen supplementation repeatedly, his biases were challenged.Dr Well's site can be found here - Nutritional Physical Therapy Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-08-08
In this episode, Erson goes over a telehealth series of visits with another PT. What started out as a traditional lumbar radicular or neuropathy complaint rapidly turned to trying a LOT of different and non traditional treatments. Are you aware that over breathing/hyperventilation can affect many different systems in the body? Listen to this podcast to find out more. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-08-02
Back pain is a common ailment that many of us have experienced at some point in our lives. One specific type of back pain, known as discogenic low back pain (LBP), is characterized by pain originating from the intervertebral discs (IVDs) in the spine. Despite extensive research, the exact causes of discogenic LBP have remained elusive. However, a recent study conducted by Seiji Ohtori and his colleagues sheds new light on the underlying mechanisms of this condition.Animal Models and Discogenic LBP:Through the use of animal models, researchers have made significant discoveries regarding discogenic LBP. They have found that sensory nerves grow into the inner layer of the lumbar IVDs, and this nerve ingrowth is induced by certain inflammatory substances called cytokines. These cytokines, such as tumor necrosis factor-α and interleukins, stimulate the ingrowth of sensory nerves into the discs. Moreover, nerve growth factor has been identified as a key player in inducing this nerve ingrowth. Animal models have also revealed that disc degeneration triggers the production of collagenases, enzymes that break down collagen, leading to hypermobility and pain. Sinuvertebral NervesUnveiling Human Discogenic LBPFurther insights into the mechanisms of discogenic LBP have been gleaned from the examination of degenerated human IVD specimens. These specimens have revealed sensory innervation and nerve ingrowth, similar to what has been observed in animal models. The presence of cytokines in human discs suggests a shared mechanism with animal models. This indicates that the findings from animal studies can be applied to human patients as well. In addition to sensory innervation and cytokine involvement, sensitization of sensory nerve fibers innervating the IVDs is a crucial factor in discogenic LBP. When these nerve fibers become sensitized, they become more responsive to pain stimuli, leading to heightened pain perception.Psychosocial factors also play a role in the perception and experience of pain associated with discogenic LBP. Factors such as stress, anxiety, depression, and social support can influence an individual’s pain experience. Understanding the interplay between these psychosocial factors and the physiological aspects of discogenic LBP is important in developing comprehensive treatment approaches.Tackling Discogenic LBP: Treatment ApproachesUnderstanding the underlying pathomechanisms of discogenic LBP opens up avenues for potential treatment strategies. To effectively manage this condition, it is crucial to prevent sensitization of sensory nerve fibers within the IVDs. This can be achieved through targeted interventions that aim to suppress the pathogenic increases of cytokines. By reducing the levels of pro-inflammatory cytokines, such as tumor necrosis factor-α and interleukins, the ingrowth of sensory nerves into the discs can be controlled, thereby reducing pain.In addition to cytokine regulation, addressing disc hypermobility is an essential aspect of treating discogenic LBP. Hypermobile discs can magnify pain and further damage the disc structure. Treatment options such as physical therapy and specific exercises can help stabilize the spine, reduce hypermobility, and alleviate pain. Other interventions, such as spinal manipulative therapy and epidural steroid injections, may also be considered in certain cases to manage pain and promote healing.Conclusion:Discogenic low back pain is a complex condition with multiple underlying mechanisms. The research conducted by Seiji Ohtori and his colleagues has provided valuable insights into the pathomechanisms of this condition, highlighting the role of sensory nerve ingrowth, cytokines, and disc hypermobility. By understanding these mechanisms, health professionals can develop more targeted treatment approaches to help patients suffering from discogenic LBP.One innovative product that aids in the understanding and communication of discogenic LBP is the Professional LxH Dynamic Disc Model by Dynamic Disc Designs. This model accurately represents the structure and function of the intervertebral discs, allowing health professionals to visually demonstrate the impact of disc degeneration, nerve ingrowth, and hypermobility to their patients. By using this model during patient consultations, health professionals can help individuals better comprehend the nature of their condition and the rationale behind the recommended treatment approaches.Check out MMT's Exclusive Blue Nucleus model!Via Dr. Jerome Fryer - Dynamic Disc Designs Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-31
Andrew is back talking about a colleague's recent case. This is a new grad, only practicing for 5 weeks or so, but kudos to his differential diagnosis skills and applying the Wells Criteria for Pulmonary Embolism. If you're not familiar with it, its something you should keep in the back of your mind, especially with post op patients, those who have been recently immobilized, or with history of Cancer or PE. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-26
There are various types of spinal cord injury rehabilitation programs available to help individuals regain function and independence. These programs can be categorized into inpatient rehabilitation, outpatient rehabilitation, and community-based rehabilitation. Inpatient rehabilitation programs typically involve intensive therapy and medical care provided in a specialized facility. Outpatient rehabilitation programs allow individuals to receive therapy on a scheduled basis while living at home. Community-based rehabilitation programs focus on integrating individuals back into their communities and providing support for daily living activities.
Spinal cord injury rehabilitation carries potential complications and risks. These can include pressure sores, urinary tract infections, respiratory problems, muscle contractures, and psychological challenges such as depression and anxiety. Additionally, there is a risk of further injury during the rehabilitation process if proper precautions and techniques are not followed. It is crucial for healthcare professionals to closely monitor and manage these risks to ensure the safety and well-being of individuals undergoing spinal cord injury rehabilitation.
The duration of the rehabilitation process for individuals with spinal cord injuries can vary depending on several factors, including the severity of the injury, the individual's overall health, and their response to therapy. In general, spinal cord injury rehabilitation is a long-term process that can last for several months to years. The initial phase of rehabilitation typically focuses on acute medical care and stabilization, followed by intensive therapy to regain function and independence. Ongoing therapy and support may be required to maintain and further improve the individual's abilities over time.
Assistive devices and technologies play a crucial role in spinal cord injury rehabilitation. These devices are designed to enhance mobility, independence, and overall quality of life for individuals with spinal cord injuries. Examples of assistive devices include wheelchairs, walkers, canes, and orthotic braces. Technological advancements have also led to the development of innovative devices such as exoskeletons, functional electrical stimulation systems, and robotic-assisted therapy. These devices can help individuals with spinal cord injuries improve their mobility, muscle strength, and coordination.
The goals of spinal cord injury rehabilitation are to maximize functional independence, improve quality of life, and promote overall well-being. These goals are achieved through a multidisciplinary approach that includes physical therapy, occupational therapy, speech therapy, psychological support, and social integration. Rehabilitation programs focus on improving mobility, strength, coordination, and self-care skills. Additionally, individuals with spinal cord injuries are provided with education and training on adaptive techniques, assistive devices, and strategies for managing daily activities. The ultimate aim is to empower individuals with spinal cord injuries to live fulfilling and independent lives.
Acupuncture has been suggested as a potential treatment option for alleviating symptoms of chemotherapy-induced peripheral neuropathy (CIPN). CIPN is a common side effect of chemotherapy that can cause pain, numbness, tingling, and weakness in the hands and feet. Some studies have shown that acupuncture may help reduce the severity of CIPN symptoms by stimulating specific points on the body and promoting the release of endorphins, which are natural pain-relieving chemicals. Additionally, acupuncture may improve blood circulation and nerve function, which could contribute to the alleviation of CIPN symptoms. However, more research is needed to fully understand the effectiveness of acupuncture in treating CIPN and to determine the optimal treatment protocols.
Several psychological factors can influence adherence to home exercise programs in patients with depression. One important factor is motivation, as individuals with depression may struggle with low energy levels and lack of interest in activities. Therefore, finding ways to increase motivation, such as setting realistic goals, providing positive reinforcement, and incorporating enjoyable activities into the exercise program, can enhance adherence. Another factor is self-efficacy, which refers to an individual's belief in their ability to successfully complete a task. Patients with depression may have low self-efficacy due to negative self-perceptions and past experiences of failure. Building self-efficacy through gradual progression, providing clear instructions, and offering support and encouragement can help improve adherence. Additionally, cognitive factors, such as negative thinking patterns and cognitive distortions, can impact adherence. Addressing these cognitive factors through cognitive-behavioral therapy techniques, such as cognitive restructuring and thought challenging, can help patients overcome barriers to adherence. Overall, addressing motivation, self-efficacy, and cognitive factors can significantly improve adherence to home exercise programs in patients with depression.
Reflexology, a complementary therapy that involves applying pressure to specific points on the feet, hands, or ears, has been suggested as a potential treatment for alleviating symptoms of peripheral neuropathy. While there is limited scientific evidence to support its effectiveness, some studies have shown promising results. The theory behind reflexology is that certain points on the feet correspond to specific organs or systems in the body, and by stimulating these points, it can help improve circulation, reduce pain, and promote relaxation. However, it is important to note that reflexology should not be used as a substitute for medical treatment, and individuals with peripheral neuropathy should consult with their healthcare provider before trying reflexology or any other alternative therapies.
Transcutaneous electrical nerve stimulation (TENS) has been found to have a significant impact on pain perception in individuals with osteoarthritis. TENS works by delivering low-voltage electrical currents to the affected area, which stimulates the nerves and disrupts the pain signals being sent to the brain. This modulation of pain perception is achieved through the activation of various mechanisms, including the gate control theory, endogenous opioid release, and the activation of descending inhibitory pathways. By targeting the specific pain pathways involved in osteoarthritis, TENS can effectively reduce pain intensity and improve overall pain management in these individuals. Additionally, TENS has been shown to have a positive effect on other symptoms associated with osteoarthritis, such as stiffness and physical function, further enhancing the overall treatment outcomes.
Acupuncture has been suggested as a potential treatment for tension headaches due to its various benefits. One of the main advantages is its ability to stimulate the release of endorphins, which are natural painkillers that can help alleviate headache symptoms. Additionally, acupuncture may improve blood circulation and reduce muscle tension, both of which are common contributors to tension headaches. By targeting specific acupuncture points, this alternative therapy can also help regulate the flow of energy in the body, promoting overall well-being and potentially reducing the frequency and intensity of tension headaches. Furthermore, acupuncture is a non-invasive and drug-free approach, making it a safe option for individuals seeking natural remedies for their headaches.
Acupuncture has been suggested as a potential treatment for insomnia due to its various benefits. One potential benefit is its ability to regulate the body's circadian rhythm, which is crucial for maintaining a healthy sleep-wake cycle. By stimulating specific acupuncture points, it is believed that acupuncture can help balance the body's energy flow and promote better sleep patterns. Additionally, acupuncture has been found to have a calming effect on the nervous system, reducing anxiety and stress levels that often contribute to insomnia. This alternative therapy also has the potential to improve sleep quality by increasing the production of endorphins and serotonin, which are neurotransmitters associated with relaxation and mood regulation. Furthermore, acupuncture may help address underlying health conditions that can disrupt sleep, such as chronic pain or hormonal imbalances. Overall, the potential benefits of using acupuncture in the treatment of insomnia lie in its ability to regulate circadian rhythm, reduce anxiety, improve sleep quality, and address underlying health issues.
Electrical muscle stimulation (EMS) is a technique that involves the use of electrical impulses to stimulate muscle contractions. In athletes, EMS can enhance neuromuscular control by activating specific muscle groups and improving the communication between the nerves and muscles. This stimulation helps to recruit a larger number of motor units, which are responsible for muscle contractions, leading to increased muscle strength and power. Additionally, EMS can improve proprioception, which is the body's ability to sense its position and movement in space. By enhancing proprioception, athletes can have better control over their movements, leading to improved coordination and agility. Furthermore, EMS can also aid in muscle recovery and injury prevention by increasing blood flow and promoting the release of endorphins, which can reduce pain and inflammation. Overall, EMS is a valuable tool for athletes to enhance their neuromuscular control and optimize their performance.