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PART 3: HE's BACK: A Patient With Parkinsonian Tremor?

Hi, here's the Part 3 follow-up to the patient with Parkinsonian tremor who has returned with vertigo-like symptoms. RECAP: 72-year-old male with a 9-month history of "Parkinsonian tremor" right-sided that responded to cervical spine mechanical repeated movements and remained better. He then returned a few months later with vertigo-like symptoms. Sustained retraction and sustained upper TH extension supine over #1 soccer ball improved multiple baselines. MRI Results Disc space heights:...

Hi, Reader We’ve heard all your feedback on pricing, and we don’t want cost to get in the way of you being able to treat your patients well. So, we've made a pretty big change. We’re lowering the price of our patient management platform from $49/month to $22/month, a 55.1% reduction, or $220/year (2 free months compared to a monthly subscription). For $22/month, you get everything Atlas Health offers to enhance your patient's experience: Precise video instruction, 700+ exercises, patient...

Hi everyone, here's a follow-up to the 65 y/o male with L lower leg numbness that sounds like a no-brainer for extension. RECAP: Current Symptoms: 6 week history of numbness L>R lower leg and foot lateral and bottom aspect-constantly due to hours of kneeling to lay flooring. Chronic weakness on R LE plantarflexion from previous lumbar surgery-constantly. Not much pain, just increased numbness. Worse: Prolonged sitting (e.g., long car rides), reclining with feet elevated, and possibly...

Hi everyone, here's a follow-up to the patient with Parkinsonian tremor who has returned with vertigo-like symptoms. RECAP: 72-year-old male with a 9-month history of "Parkinsonian tremor" right-sided that responded to cervical spine mechanical repeated movements and remained better. He then returned a few months later with vertigo-like symptoms. All vestibular testing was negative. Positive ataxia with tandem. Single-leg stand for less than 5 seconds each. Strength was good. Hoffmans normal....

Hi everyone, here's a new patient, 65 y/o male with L lower leg numbness that sounds like a no-brainer for extension. FAQs at the bottom NOTICE: The free trial will expire on August 29th. History: Current Symptoms: numbness L>R lower leg and foot lateral and bottom aspect-constantly. Chronic weakness on R LE plantarflexion from previous lumbar surgery-constantly. Not much pain, just increased numbness. Onset date: 6 weeks ago, improving with recent oral Prednisone. Method of onset: laying...

Hi everyone, the patient with Parkinsonian tremor has returned with vertigo-like symptoms. FAQs at the bottom NOTICE: The free trial will expire in 2 weeks, on August 29th. RECAP (from previous): 72-year-old male with a 9-month history of "Parkinsonian tremor" that was intermittent, right-sided, and large-amplitude, with a flexion pattern affecting the upper extremity more than the lower. Cervical retraction-extension abolished the right upper- and lower-extremity tremor during the session,...

Hi everyone, here's a follow-up to this patient. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 50-year-old male with intermittent pain: R interscap pain, R UT, R deltoid, R upper arm. Onset date: about 4 weeks ago. Method of onset: nothing specific, just woke up with it, possibly 188+ push-ups and 20+ pull-ups per day (push/pull-up challenge, one more every day). General Symptom Trend: staying the same. Worse: push-ups, mornings, carrying...

Hi everyone, here's part 3. I'm leaving the FAQs at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 42-year-old female with the onset of intermittent symmetrical mid-low thoracic pain about one year ago after roughhousing with her young boys. I sent her out with sustained extension to confirm or rule out a derangement, and her R TH pain progressively worsened. She messaged me to let me know, and I updated her HEP with Repeated TH rotation R. UPDATE: She stopped TH...

Hi everyone, here's another patient I just saw that we can go through together. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. Patient is a 50-year-old male with intermittent pain: R interscap pain, R UT, R deltoid, R upper arm. Onset date: about 4 weeks ago. Method of onset: nothing specific, just woke up with it, possibly 188+ push-ups and 20+ pull-ups per day (push/pull-up challenge, one more every day). General Symptom Trend: staying the same. Worse:...

Hi everyone, here's part 2. I'm leaving the FAQs in at the bottom for a little while. Glad they're helpful. RECAP: Patient is a 42-year-old female yoga instructor with the onset of intermittent symmetrical mid-low thoracic pain about one year ago after roughhousing with her young boys. Twisting R is stiff when pain is elevated, but her movement exam did not demonstrate any motion loss. Neural tension + on L. Multiple attempts of thoracic extension had no effect. I sent her out with sustained...